Kathryn Ann Freese, PTA

Individual provider Active NPI Physical Therapy Assistant · Webster, WI

NPI 1477843258 · NPPES record last updated Apr 13, 2011

Key facts

NPI
1477843258
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
65-19 (WI)
Practice address
7456 Main St W
Webster, WI 54893-8205
Phone
(715) 866-4271
Fax
(715) 866-4284
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
65-19WIMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 65-19 WI Yes

Addresses

Primary practice location

7456 Main St W
Webster, WI 54893-8205

Mailing address

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221

Other providers in Webster, WI

All providers in Webster, WI · Physical Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.