Kathleen Johnson Wesolowski, PT
Kathleen Johnson Wesolowski, PT is a Physical Therapist in Private Practice in Eagle, Idaho. Qualified in 1988, 38 years ago. Practices with Mrc LLC, a 3-clinician group and accepts Medicare assignment. Licensed in California and Idaho.
- Years since qualifying
- 38
- Licensed in
- CA, ID
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
450 W State St Ste 270Eagle, ID 83616-6974
Phone: (208) 462-0808
Fax: (208) 516-4488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT15209 (CA) |
|---|---|
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence PT-9207 (ID) |
Record details
| NPI number | 1457365538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | July 27, 2006 |
| Last updated in NPPES | July 16, 2024 |
| Certification date | July 16, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1988 (38 years in practice) |
| Group practice | Mrc Llc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Eagle
-
Taylor N Williams, DPTLICENSEPT-6769
875 E Plaza Dr, Eagle, ID 83616-6548 · (208) 939-0886