Individual
KATHLEEN MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1629 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 426-4537
(715) 426-4602
Mailing address
1261 EMILY CIR, RIVER FALLS, WI 54022-2098
(715) 426-7853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4066
MN
225100000X
Physical Therapist
Primary
9502-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36102800
—
WI
Enumeration date
01/24/2007
Last updated
07/08/2007
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