Provider Demographics
NPI:1073921201
Name:SHEETZ, KATE WAHLBERG (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:WAHLBERG
Last Name:SHEETZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:FRANCES
Other - Last Name:WAHLBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2142 CHERRYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2412 CHERRYVILLE RD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1148
Practice Address - Country:US
Practice Address - Phone:610-697-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023732225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist