Individual
KATHLEEN WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13609 CALIFORNIA STREET, SUITE 200, OMAHA, NE 68154
(402) 891-1118
Mailing address
PMB#4015, PO BOX 2430, PENSACOLA, FL 32513
(505) 693-4771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3429
NC
225200000X
Physical Therapy Assistant
A297
NM
225200000X
Physical Therapy Assistant
Primary
TE001682L
PA
Other
Enumeration date
07/02/2007
Last updated
09/11/2025
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