Individual
DR. MARY KRISTA KATHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5864 GINKGO LN, BLUFFTON, SC 29910
(843) 368-5541
Mailing address
5864 GINKGO LN, BLUFFTON, SC 29910-6673
(843) 368-5541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5141
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00403847
RAILROAD MEIDCARE NUMBER
SC
01
—
Q339937620
MEDICARE ID - TYPE UNSPECIFIED
SC
Enumeration date
07/03/2006
Last updated
08/08/2022
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