Katie M Porter, PA-C, ATC

NPI #1033482336 in Reedsburg, Wisconsin

Provider Information

NPI Number: 1033482336
Entity Type: Individual
Name: Katie M Porter, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Feb 16, 2012
Last Updated: May 3, 2024

Practice Location

Address: 2000 N DEWEY AVE
City: Reedsburg
State: Wisconsin
ZIP Code: 53959-1049
Phone: (608) 524-6487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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