Provider Demographics
NPI:1184229387
Name:SANKEY, KATHRYN AYN (LMT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:AYN
Last Name:SANKEY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 LEDGEDALE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-3714
Mailing Address - Country:US
Mailing Address - Phone:724-448-9648
Mailing Address - Fax:
Practice Address - Street 1:187 LEDGEDALE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-3714
Practice Address - Country:US
Practice Address - Phone:724-448-9648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA001113225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist