| Doctor Name: | KRISTIE L. LATKA |
| NPI Number: | 1124487269 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 070-009874 |
| Business Practice Address: | 1969 W Hart Rd Beloit Health System Inc Beloit, WI - 535112230 |
| Business Phone Number: | 6083645173 |
| Business Fax Number: | 6083635790 |
| Mailing Address: | 1905 E Huebbe Pkwy, Beloit Health System Inc BELOIT |
| State: | WI |
| Postal Code: | 535111842 |
| Phone Number: | 6083642200 |
| Fax Number: | 6083637395 |
| NPI Enumeration Date: | 02/17/2016 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-009874 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |