Kathy Jo Anderson, PTA
Individual provider Active NPI Physical Therapy Assistant · Merrill, WI
NPI 1679832349 · NPPES record last updated May 15, 2012
Key facts
- NPI
- 1679832349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 542-19 (WI)
- Practice address
- 601 S Center Ave
Merrill, WI 54452-3404 - Phone
- (715) 539-2466
- Fax
- (715) 539-2462
- NPI assigned
- May 15, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 542-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 542-19 | WI | Yes |
Addresses
Primary practice location
601 S Center Ave
Merrill, WI 54452-3404
Mailing address
601 S Center Ave
Merrill, WI 54452-3404
Phone (715) 539-2466
Other providers in Merrill, WI
- Advanced Foot & Ankle Center SC
- Michael Gordon Aldrich
- Miira Catherine Allen
- Anderson & Associates Counseling and Psychologist Services LLC
- Amy Virginia Anderson
- Apprill Family Chiropractic, S.C.
- Corey Lee Apprill
- Kimberly Jean Apprill
- Ascension Medical Group-Northern Wisconsin, Inc
- Aspirus Merrill Hospital & Clinics, Inc.
All providers in Merrill, WI · Physical Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.