Individual
KATELYNN ANN MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1500 MADISON AVE STE 5A, NEW RICHMOND, WI 54017-6693
(715) 941-0277
Mailing address
2033 SOUTHCROSS DR W APT 407, BURNSVILLE, MN 55306-7935
(320) 760-7647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11104
MN
225100000X
Physical Therapist
Primary
16222
WI
2251X0800X
Orthopedic Physical Therapist
11104
MN
Other
Enumeration date
07/31/2018
Last updated
02/16/2023
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