Koth, Catherine Marie
Koth, Catherine Marie is an individual health care provider with primary practice located at 202 W Mohawk Dr , Tomahawk WI 54487-2215. 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. Koth, Catherine Marie can be contacted via phone (715) 453-7600.Contact Information
Primary practice address
202 W Mohawk Dr
Tomahawk WI 54487-2215
Phone: (715) 453-7600
Fax: (715) 453-6403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 381-019 | Wisconsin |
Profile Details
| NPI number | 1376614909 |
|---|---|
| LBN Legal business name | Koth, Catherine Marie |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1376614909 | NPPES |
| Wisconsin | MEDICAID | 40336300 |
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