| Doctor Name: | KAITLIN MARIE LEWIS |
| NPI Number: | 1265787048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 004956 |
| Business Practice Address: | 512 3rd St Ne Hartley, IA - 513461204 |
| Business Phone Number: | 7127282702 |
| Business Fax Number: | 7127282138 |
| Mailing Address: | Po Box 5074, SIOUX FALLS |
| State: | SD |
| Postal Code: | 571175074 |
| Phone Number: | 6053286585 |
| Fax Number: | 6053286512 |
| NPI Enumeration Date: | 07/18/2012 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 004956 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| 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 |