Individual
HEATHER M KAPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1415 MERRILL AVE, WAUSAU, WI 54401
(715) 842-1700
(715) 842-1744
Mailing address
1415 MERRILL AVE, WAUSAU, WI 54401-2646
(715) 842-1700
(715) 842-1744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9990-024
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40433200
—
WI
Enumeration date
08/23/2006
Last updated
08/15/2018
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