Caucutt, Kimberly Ann
Caucutt, Kimberly Ann is an sole proprietor health care provider with primary practice located at 901 Mulberry St , Lake Mills WI 53551-1335. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Caucutt, Kimberly Ann can be contacted via phone (920) 648-8344.Contact Information
Primary practice address
901 Mulberry St
Lake Mills WI 53551-1335
Phone: (920) 648-8344
Fax: (920) 648-3441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 919019 | Wisconsin |
Profile Details
| NPI number | 1366656654 |
|---|---|
| LBN Legal business name | Caucutt, Kimberly Ann |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366656654 | NPPES |
| Wisconsin | MEDICAID | 40481700 |
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