Individual
KATIE J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
220 3RD AVE W, SUITE B, ASHLAND, WI 54806-1616
(715) 685-9656
(715) 685-9544
Mailing address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 257-2000
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11067-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36186100
—
WI
Enumeration date
07/31/2008
Last updated
06/27/2013
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