Provider Demographics
NPI:1063682185
Name:DORTON, KATHY Z (PT)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:Z
Last Name:DORTON
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 1:2156 OLDE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-9324
Mailing Address - Country:US
Mailing Address - Phone:803-324-5846
Mailing Address - Fax:803-324-5846
Practice Address - Street 1:2156 OLDE CREEK RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-9324
Practice Address - Country:US
Practice Address - Phone:803-324-5846
Practice Address - Fax:803-324-5846
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist