Provider Demographics
NPI:1881063394
Name:STRAUSS, KAITLYN ANN (PTA)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:ANN
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MRS
Other - First Name:KAITLYN
Other - Middle Name:ANN
Other - Last Name:WIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:7517 W COLD SPRING RD
Mailing Address - Street 2:GREENFIELD REHABILITATION AGENCY
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-2814
Mailing Address - Country:US
Mailing Address - Phone:414-327-6603
Mailing Address - Fax:414-327-5411
Practice Address - Street 1:7517 W COLD SPRING RD
Practice Address - Street 2:GREENFIELD REHABILITATION AGENCY
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-2814
Practice Address - Country:US
Practice Address - Phone:414-327-6603
Practice Address - Fax:414-327-5411
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2244225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist