Provider Demographics
NPI:1003532433
Name:CATO, JENNA (PT)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:CATO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62500 9 MILE RD # B
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-2506
Mailing Address - Country:US
Mailing Address - Phone:248-573-8220
Mailing Address - Fax:
Practice Address - Street 1:62500 NINE MILE RD # B
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-2506
Practice Address - Country:US
Practice Address - Phone:248-573-8220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-18
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics