Provider Demographics
NPI:1285265926
Name:GUSKI, KATRINA RAE (DPT)
Entity type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:RAE
Last Name:GUSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E5618 COUNTY ROAD V
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:WI
Mailing Address - Zip Code:54763-9466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:E5618 COUNTY ROAD V
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:WI
Practice Address - Zip Code:54763-9466
Practice Address - Country:US
Practice Address - Phone:715-205-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist