Radtke, Julie Kay
Radtke, Julie Kay is an sole proprietor health care provider with primary practice located at 1625 E Main St , Clintonville WI 54929-8407. 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. Radtke, Julie Kay can be contacted via phone (715) 823-3135.Contact Information
Primary practice address
1625 E Main St
Clintonville WI 54929-8407
Phone: (715) 823-3135
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 168-019 | Wisconsin |
Profile Details
| NPI number | 1235396581 |
|---|---|
| LBN Legal business name | Radtke, Julie Kay |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2008 |
| Last updated | May 22nd, 2008 - about 17 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 | 1235396581 | NPPES |
| Wisconsin | MEDICAID | 40240300 |
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