Individual
KAITLYN WIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 S LAFAYETTE ST, ARGYLE, WI 53504-9763
(608) 293-1187
Mailing address
409 S LAFAYETTE ST, ARGYLE, WI 53504-9763
(608) 293-1187
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160005722
IL
225200000X
Physical Therapy Assistant
Primary
1978
WI
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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