Individual
KATJA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60659100
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821541236
—
WA
01
—
P01704182
RR MEDICARE WVH
WA
Enumeration date
08/02/2016
Last updated
07/25/2022
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