Individual
MRS. KATHERINE JOY ELLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
531 GIDDINGS AVE, SHEBOYGAN FALLS, WI 53085-1707
(920) 467-2401
Mailing address
406 HUENINK AVE, CEDAR GROVE, WI 53013-1660
(920) 889-2071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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