Individual
KATHARINE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
414 N MAIN ST, OPP, AL 36467-1607
(256) 350-1764
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9553
AL
Other
Enumeration date
09/12/2019
Last updated
11/19/2019
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