Individual
KEVAN JOHN LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
517 E. CLAIREMONT AVENUE, EAU CLAIRE, WI 54701-6479
(715) 855-0408
(715) 855-0409
Mailing address
517 E. CLAIREMONT AVENUE, EAU CLAIRE, WI 54701-6479
(715) 855-0408
(715) 855-0409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14040
WI
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072562
—
WI
Enumeration date
05/17/2017
Last updated
11/30/2022
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