Klassa, Kristin
Klassa, Kristin is an individual health care provider with primary practice located at 225 Memorial Dr , Berlin WI 54923-1243. 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. Klassa, Kristin can be contacted via phone (920) 361-5534.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 1510-19 | Wisconsin |
Profile Details
| NPI number | 1649547357 |
|---|---|
| LBN Legal business name | Klassa, Kristin |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2011 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649547357 | NPPES |
| Wisconsin | Other | 1510-19 | LICENSE ST OF WISCONSIN |
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