Provider Demographics
NPI:1134459845
Name:DOBSON, KATHERINE A (NCMT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:DOBSON
Suffix:
Gender:F
Credentials:NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 E 3RD AVE
Mailing Address - Street 2:#22
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5255
Mailing Address - Country:US
Mailing Address - Phone:970-375-0325
Mailing Address - Fax:
Practice Address - Street 1:1309 E 3RD AVE
Practice Address - Street 2:#22
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5255
Practice Address - Country:US
Practice Address - Phone:970-375-0325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6825225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist