IndividualActive
Catie Pontel, PTA
NPI 1396010468 · Health Maintenance Organization · Walworth, WI
Provider details
- NPI number
- 1396010468
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1652-019 (WI)
Specialties & taxonomies
Managed Care Organizations
Practice location
270 Ridge Rd
Walworth, WI 53184-9526
Phone: (262) 275-2317
Approximate (ZIP-level) locationGet directions
Mailing address
W4929 Paddock Dr
Elkhorn, WI 53121-3106
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2012-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.