Katie Bass
Individual provider Active NPI Physical Therapy Assistant · Plover, WI
NPI 1750827010 · NPPES record last updated Jan 11, 2017
Key facts
- NPI
- 1750827010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1668-19 (WI)
- Practice address
- 3450 Bridlewood Dr
Plover, WI 54467-3892 - Phone
- (715) 342-9100
- NPI assigned
- Jan 11, 2017
- 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 |
|---|---|---|---|
| 1668-19 | WI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1668-19 | WI | Yes |
Addresses
Primary practice location
3450 Bridlewood Dr
Plover, WI 54467-3892
Mailing address
1540 High St
Wisconsin Rapids, WI 54495-2467
Other providers in Plover, WI
- Tyler McLaine Alt
- Andrew L Rust Optometrist SC
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
- Aurora Pharmacy Inc
- Margaret E Bach
- Marvin M Bauer
- Lauren Baxter
- Joshua Behnke
- Hannah M Bemke
- Anneliese Bessette
All providers in Plover, 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 Jan 11, 2017. 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.