Basic Information
| Provider Information | |||||||||
| NPI: | 1780002824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAPAGAL | ||||||||
| FirstName: | KATHERINE | ||||||||
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| Credential: | 12622-24 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 136 DEER CREEK CT APT 7 | ||||||||
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| City: | JEFFERSON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 535491190 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126182356 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1020 HILL ST | ||||||||
| Address2: | |||||||||
| City: | WATERTOWN | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530983016 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9202064935 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2014 | ||||||||
| LastUpdateDate: | 11/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 12622-24 | WI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.