Individual
DR. KATHRYN THERESA GOLLOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
165 HIGHWAY 50, STATELINE, NV 89449-9816
(775) 589-8915
(530) 999-4311
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OT011173
NV
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MB08571200
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB08571200
LICENSE
NJ
01
—
OT011173
TRAINING LICENSE
PA
Enumeration date
04/11/2007
Last updated
12/11/2025
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