Doctor Name: | KATHERINE TERESA KENNEDY |
NPI Number: | 1639382393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T. |
License Number: | |
Business Practice Address: | 981 Industrial Rd St B San Carlos, CA - 94070 |
Business Phone Number: | 6502994398 |
Business Fax Number: | 6502994789 |
Mailing Address: | 981 Industrial Road, Suite B SAN CARLOS |
State: | CA |
Postal Code: | 940704149 |
Phone Number: | 6506541223 |
Fax Number: | 6506541205 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 12/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |