NPI 1093220774

Karissa McCorison

Practitioner Physical Therapy Assistant Appleton, WI

Practice location

Address: 3300 W Brewster St, Appleton, WI 54914-6444
Phone: (920) 832-1657
Mailing address: 2912 Shade Tree Ln, Green Bay, WI 54313-7082

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2674 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1093220774
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Dec 2017
Record last updated: 4 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.