Provider Demographics
NPI:1558658476
Name:LANGFELDT, KATE E (DPT)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:E
Last Name:LANGFELDT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:E
Other - Last Name:LAZOTTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2248 DEMING WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5509
Mailing Address - Country:US
Mailing Address - Phone:608-658-5352
Mailing Address - Fax:888-965-4018
Practice Address - Street 1:2248 DEMING WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-5509
Practice Address - Country:US
Practice Address - Phone:608-658-5352
Practice Address - Fax:888-965-4018
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11743-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist