Provider Demographics
NPI:1215394341
Name:ROHLOFF, CATRINA MILLEE (PTA)
Entity Type:Individual
Prefix:
First Name:CATRINA
Middle Name:MILLEE
Last Name:ROHLOFF
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:COUNCIL GROVE
Mailing Address - State:KS
Mailing Address - Zip Code:66846-1554
Mailing Address - Country:US
Mailing Address - Phone:620-767-5172
Mailing Address - Fax:620-767-6622
Practice Address - Street 1:400 SUNSET DR
Practice Address - Street 2:
Practice Address - City:COUNCIL GROVE
Practice Address - State:KS
Practice Address - Zip Code:66846-1554
Practice Address - Country:US
Practice Address - Phone:620-767-5172
Practice Address - Fax:620-767-6622
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-02228225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant