Provider Demographics
NPI:1689122517
Name:KAPLA, PAUL LOUIS (PT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:LOUIS
Last Name:KAPLA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 LAIRD ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-1228
Mailing Address - Country:US
Mailing Address - Phone:715-897-5634
Mailing Address - Fax:
Practice Address - Street 1:1012 LAIRD ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-1228
Practice Address - Country:US
Practice Address - Phone:715-897-5634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5000-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist