Provider Demographics
NPI:1275745556
Name:WEISBLATT, KATHLEEN WHALEN (PT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:WHALEN
Last Name:WEISBLATT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645
Mailing Address - Country:US
Mailing Address - Phone:508-430-1660
Mailing Address - Fax:
Practice Address - Street 1:4730 STATE HIGHWAY 6
Practice Address - Street 2:CAPE COD HOSPITAL REHABILITATION AT WILLYS GYM
Practice Address - City:EASTHAM
Practice Address - State:MA
Practice Address - Zip Code:02642
Practice Address - Country:US
Practice Address - Phone:508-247-9775
Practice Address - Fax:508-247-9778
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9570225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist