Provider Demographics
NPI:1316040199
Name:MARR, CATHERINE MARY (ATC, LAT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MARY
Last Name:MARR
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31219 MAJESTIC PARK LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2026
Mailing Address - Country:US
Mailing Address - Phone:281-681-9041
Mailing Address - Fax:
Practice Address - Street 1:20811 ELLA BLVD.
Practice Address - Street 2:KLEIN COLLINS HS
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3873
Practice Address - Country:US
Practice Address - Phone:832-484-5170
Practice Address - Fax:832-484-5248
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT17392255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer