Peterson, Katelyn
Peterson, Katelyn is an individual health care provider with primary practice located at 2219 Garfield St , Two Rivers WI 54241-2416. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peterson, Katelyn can be contacted via phone (920) 793-2281.Contact Information
Primary practice address
2219 Garfield St
Two Rivers WI 54241-2416
Phone: (920) 793-2281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13111-24 | Wisconsin |
Profile Details
| NPI number | 1619356359 |
|---|---|
| LBN Legal business name | Peterson, Katelyn |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2015 |
| Last updated | Jun 17th, 2024 - about 2 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 | 1619356359 | NPPES |
| Wisconsin | MEDICAID | 100045290 |
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