Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Rose Couillard, PTA

Individual provider Physical Therapy Assistant · NPI 1174289938

Kaitlyn Rose Couillard, PTA is a Physical Therapy Assistant in Marinette, Wisconsin. Practices as a sole proprietor. Licensed in Michigan and Wisconsin.

Licensed in
MI, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3117 Shore Dr
Marinette, WI 54143-4293
Phone: (715) 732-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3203 (WI)
Physical Therapy Assistant Taxonomy 225200000X · Licence 5502007910 (MI)

Record details

NPI number1174289938
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 16, 2021
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

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