Individual
KATHERINE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2701 MAGNOLIA SPRINGS DR, LEXINGTON, KY 40511-1198
(859) 410-6575
Mailing address
528 WELLINGTON GARDENS DR, LEXINGTON, KY 40503-3472
(515) 577-9221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008282
KY
225100000X
Physical Therapist
5501017648
MI
Other
Enumeration date
07/26/2017
Last updated
09/22/2021
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