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Individual

KAITLYN J SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1129 HONEY CREEK CIR, OSHKOSH, WI 54904-9395
(641) 221-1134
Mailing address
1129 HONEY CREEK CIR, OSHKOSH, WI 54904-9395

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1407857790
GROUP NPI
WI
01
39-1930290
GROUP TAX ID
WI
Enumeration date
08/07/2018
Last updated
04/13/2026
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