Provider Demographics
NPI:1003054842
Name:KAHRS, CATHY
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:
Last Name:KAHRS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 DOMINION CIR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-5512
Mailing Address - Country:US
Mailing Address - Phone:843-813-2834
Mailing Address - Fax:743-787-3008
Practice Address - Street 1:106 DOMINION CIR
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-5512
Practice Address - Country:US
Practice Address - Phone:843-813-2834
Practice Address - Fax:743-787-3008
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1607225700000X
SC634235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist