Shebesta, Kathy Louise
Shebesta, Kathy Louise is an individual health care provider with primary practice located at 2626 N 76Th St Suite 105, Wauwatosa WI 53213. 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. Shebesta, Kathy Louise can be contacted via phone (414) 774-7794.Contact Information
Primary practice address
2626 N 76Th St Suite 105
Wauwatosa WI 53213
Phone: (414) 774-7794
Fax: (414) 607-3971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 785024 | Wisconsin |
Profile Details
| NPI number | 1003912858 |
|---|---|
| LBN Legal business name | Shebesta, Kathy Louise |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1003912858 | NPPES |
| Wisconsin | MEDICAID | 40126200 |
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