Individual
KAITLIN STEAVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
990 MAIN STREET, #1, BALDWIN, WI 54002
(715) 928-9898
Mailing address
990 MAIN STREET, BALDWIN, WI 54002
(715) 629-1888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
N/A
—
Enumeration date
01/06/2023
Last updated
01/06/2023
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