Doctor Name: | MS. KATHERINE MARIE GORDON |
NPI Number: | 1043560469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 1900 |
Business Practice Address: | 324 13 Ave South Suite No. 4 Great Falls, MT - 59405 |
Business Phone Number: | 4062174251 |
Business Fax Number: | 4063153035 |
Mailing Address: | 324 13 Ave South, Suite No. 4 GREAT FALLS |
State: | MT |
Postal Code: | 59405 |
Phone Number: | 4062174251 |
Fax Number: | 4063153035 |
NPI Enumeration Date: | 09/12/2012 |
NPI Last Update Date: | 10/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 1900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |