Individual
KRISTINA M DEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02264
IA
225100000X
Physical Therapist
Primary
10159
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02264
PHYSICAL THERAPY
IA
01
—
10159
PHYSICAL THERAPY
WI
Enumeration date
11/07/2006
Last updated
07/08/2007
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