Individual
KATIE A FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
880 INDEPENDENCE LN, SAUK CITY, WI 53583-1381
(608) 643-2343
Mailing address
880 INDEPENDENCE LN, SAUK CITY, WI 53583-1381
(608) 643-2343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11240
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073740627
—
WI
Enumeration date
06/22/2009
Last updated
03/30/2011
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