KATIE M PORTER PA-C, ATC
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1033482336- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C, ATC
- Status
- Active
Contact & Location
- Address
- 2000 N DEWEY AVE, REEDSBURG, WI, 539591049
- Phone
- (608) 524-6487
Specialties & Taxonomies
Physician Assistant
Primary License: WI #7741-23
Physician Assistant
License: NM #PA2014-0086