# KATHRYN CORINNE NEWSOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275953721
- **Gender:** F
- **Credential:** PT, DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6899 | SC | Yes |
| 225100000X | Physical Therapist | PTL.0012005 | CO | — |

## Other

- **Enumeration date:** 04/23/2014
- **Last updated:** 10/04/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000142370 | — | CO |