NPI 1336508696

Kate Wigman

Practitioner Physical Therapy Assistant Park City, UT

Practice location

Address: 1640 Redstone Center Dr Suite 200, Park City, UT 84098-7605
Phone: (866) 474-6677

Registered specialties (4)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5502003611 (MI)

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Registry record

NPI: 1336508696
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2016
Record last updated: 15 Feb 2016

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.