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NPI Code Detail

MEDICARE: KATLYN CHRISTIANSEN

MEDICARE: KATLYN CHRISTIANSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1306776299
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATLYN CHRISTIANSEN
Provider Business Mailing Address
First Line : 611 W MAIN ST
Second Line :
City : WATERFORD
State : WI
Zip : 53185-4100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 611 W MAIN ST
Second Line :
City : WATERFORD
State : WI
Zip : 53185-4100
Country : US
Telephone Number : 262-534-3189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ KATLYN CHRISTIANSEN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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