Anderson, Krista

Anderson, Krista is an individual health care provider with primary practice located at 417 3Rd Ave , Clear Lake WI 54005. 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. Anderson, Krista can be contacted via phone (715) 263-4103.

Contact Information

Primary practice address
417 3Rd Ave Clear Lake WI 54005
Phone: (715) 263-4103
Fax: (866) 245-8064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1712-19 Wisconsin

Profile Details

NPI number 1265721781
LBN Legal business name Anderson, Krista
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated May 11th, 2011 - about 14 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 1265721781 NPPES
Wisconsin MEDICAID 1265721781

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