Young, Kathleen Marie

Young, Kathleen Marie is an individual health care provider with primary practice located at 1629 E Division St , River Falls WI 54022-1571. 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. Young, Kathleen Marie can be contacted via phone (715) 426-4537.

Contact Information

Primary practice address
1629 E Division St River Falls WI 54022-1571
Fax: (715) 426-4602
Website:

Profile Details

NPI number 1922153501
LBN Legal business name Young, Kathleen Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 17 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 1922153501 NPPES
Wisconsin MEDICAID 36102800

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