Provider Demographics
NPI:1285859587
Name:FON-KATS, ARTUR (PT, CMT)
Entity Type:Individual
Prefix:
First Name:ARTUR
Middle Name:
Last Name:FON-KATS
Suffix:
Gender:M
Credentials:PT, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9246 HARVEST RUSH RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4522
Mailing Address - Country:US
Mailing Address - Phone:410-869-0908
Mailing Address - Fax:
Practice Address - Street 1:9246 HARVEST RUSH RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4522
Practice Address - Country:US
Practice Address - Phone:410-869-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM02246174400000X
MD21168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist