Provider Demographics
NPI:1114096906
Name:MAJOR, KATHERINE TAWES (MPT)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:TAWES
Last Name:MAJOR
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:MAJOR
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:2593 US HIGHWAY 2 E
Mailing Address - Street 2:SUITE 6
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-9507
Mailing Address - Country:US
Mailing Address - Phone:406-257-0933
Mailing Address - Fax:406-257-3426
Practice Address - Street 1:2593 US HIGHWAY 2 E
Practice Address - Street 2:SUITE 6
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-9507
Practice Address - Country:US
Practice Address - Phone:406-257-0933
Practice Address - Fax:406-257-3426
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
150880200OtherDEPT OF LABOR
MT61746OtherBC BS
000050694Medicare ID - Type Unspecified
MT3400462Medicare ID - Type Unspecified
000083800Medicare ID - Type Unspecified