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NPI Code Detail

MEDICARE: KATRINA ANNE HARDIN

MEDICARE: KATRINA ANNE HARDIN
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
1225100000XPhysical Therapist17254-24WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992690408
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA ANNE HARDIN
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 9000 W SURA LN
Second Line :
City : GREENFIELD
State : WI
Zip : 53228-3477
Country : US
Telephone Number : 414-246-6800
Fax Number : 414-246-6405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2025
Last Update Date : 04/21/2026

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Directions to “ KATRINA ANNE HARDIN ” Practice Location

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