Provider Demographics
NPI:1427567999
Name:COTTIN, KATHERINE ANN (ATC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:COTTIN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:COTTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATC
Mailing Address - Street 1:5757 N SHERIDAN RD APT 19D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-8712
Mailing Address - Country:US
Mailing Address - Phone:269-625-4888
Mailing Address - Fax:
Practice Address - Street 1:801 W KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:MT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1112
Practice Address - Country:US
Practice Address - Phone:847-718-5403
Practice Address - Fax:847-718-5404
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer