Individual
KATHLEEN ELIZABETH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC/L
Contact information
Practice address
2432 CEDAR BND, ANDERSON, IN 46011-1096
(765) 425-2687
Mailing address
2432 CEDAR BND, ANDERSON, IN 46011-1096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010573A
IN
Other
Enumeration date
03/09/2012
Last updated
05/17/2016
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