Individual
MRS. CASIE L KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
Mailing address
N1245 TECHNICAL DR APT 6, GREENVILLE, WI 54942-8739
(920) 585-2650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11434-24
WI
Other
Enumeration date
06/18/2010
Last updated
09/18/2012
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