Doctor Name: | KATIE J SMITH |
NPI Number: | 1780840538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | 11067-024 |
Business Practice Address: | 220 3rd Ave W Suite B Ashland, WI - 548061616 |
Business Phone Number: | 7156859656 |
Business Fax Number: | 7156859544 |
Mailing Address: | 4000 N Providence Ave, APPLETON |
State: | WI |
Postal Code: | 549138018 |
Phone Number: | 9202572000 |
Fax Number: | 9202572004 |
NPI Enumeration Date: | 07/31/2008 |
NPI Last Update Date: | 06/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11067-024 |
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 |