Individual
KRISTIE L. LATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1969 W HART RD, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-2230
(608) 364-5173
(608) 363-5790
Mailing address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-009874
IL
225100000X
Physical Therapist
Primary
5408-24
WI
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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