Provider Demographics
NPI:1225153711
Name:KASON, KATHY A (LPTA)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:A
Last Name:KASON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:A
Other - Last Name:WUNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:27338 WHEATON PL
Mailing Address - Street 2:
Mailing Address - City:OLMSTED FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44138-4224
Mailing Address - Country:US
Mailing Address - Phone:440-427-8873
Mailing Address - Fax:
Practice Address - Street 1:255 FRONT ST
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-1943
Practice Address - Country:US
Practice Address - Phone:440-891-3445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01779225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant