Individual
KATELYN M BASDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
315 BURTON RD STE 107, NEW LONDON, WI 54961-1176
(920) 982-3670
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16477
WI
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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