Christi Kaye McKusick, PTA
Individual provider Active NPI Physical Therapy Assistant · Clayton, WI
NPI 1740558238 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1740558238
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1141-19 (WI)
- Practice address
- 960 8TH St
Clayton, WI 54004-9038 - Phone
- (715) 357-6340
- NPI assigned
- Dec 12, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1141-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1141-19 | WI | Yes |
Addresses
Primary practice location
960 8TH St
Clayton, WI 54004-9038
Mailing address
960 8TH St
Clayton, WI 54004-9038
Phone (715) 357-6340
Other providers in Clayton, WI
- Deborah Lee Hall
- Taylor Luke
- Christine Mattila
- School District of Clayton
- Kerri Lynn Slate
- Jenna Lynn Wolf
All providers in Clayton, 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 Dec 12, 2011. 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.