Provider Demographics
NPI:1205393634
Name:PAISLEY, KATHERINE F
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:F
Last Name:PAISLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1344
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80444-1344
Mailing Address - Country:US
Mailing Address - Phone:570-401-6867
Mailing Address - Fax:
Practice Address - Street 1:1805 S BALSAM ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6700
Practice Address - Country:US
Practice Address - Phone:303-905-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA027510225100000X
COPTL.0017331225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist