Smith, Kathleen A

Smith, Kathleen A is an individual health care provider with primary practice located at 3500 Tower Ave , Superior WI 54880-5335. 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. Smith, Kathleen A can be contacted via phone (218) 786-5400.

Contact Information

Primary practice address
3500 Tower Ave Superior WI 54880-5335
Phone: (218) 786-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10188-024 Wisconsin

Profile Details

NPI number 1659544195
LBN Legal business name Smith, Kathleen A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Feb 15th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659544195 NPPES
Wisconsin MEDICAID 40342600

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