Boaldin, Kathryn Marie

Boaldin, Kathryn Marie is an individual health care provider with primary practice located at 815 W Tower Park Dr , Waterloo IA 50701-9026. 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. Boaldin, Kathryn Marie can be contacted via phone (319) 233-6995.

Contact Information

Primary practice address
815 W Tower Park Dr Waterloo IA 50701-9026
Phone: (319) 233-6995
Fax: (319) 233-7083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03885 Iowa

Profile Details

NPI number 1902874944
LBN Legal business name Boaldin, Kathryn Marie
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 11th, 2012 - about 12 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 1902874944 NPPES
Iowa Other 03885 IOWA PT LICENSE

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