Individual
KATIE LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-5361
(715) 284-1398
Mailing address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-5361
(715) 284-1398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10935-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10935-24
WISCONSIN STATE LICENSE
WI
Enumeration date
12/11/2007
Last updated
12/11/2007
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