Doctor Name: | CHRISTINE A KOTH |
NPI Number: | 1215172358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 6430-024 |
Business Practice Address: | 4539 Woodgate Dr Janesville, WI - 535468205 |
Business Phone Number: | 6083591737 |
Business Fax Number: | |
Mailing Address: | 4139 Windmill Ln, JANESVILLE |
State: | WI |
Postal Code: | 535464206 |
Phone Number: | 6083591737 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2008 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6430-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |