Provider Demographics
NPI:1457494023
Name:TAYLOR-KATHE, CHRISTINE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:TAYLOR-KATHE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PONCE DE LEON DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-1027
Mailing Address - Country:US
Mailing Address - Phone:864-271-7218
Mailing Address - Fax:
Practice Address - Street 1:FURMAN UNIVERSITY
Practice Address - Street 2:3300 POINSETT HIGHWAY
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29613-0001
Practice Address - Country:US
Practice Address - Phone:864-294-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1853225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant