Provider Demographics
NPI:1467851378
Name:ROBBINS, KATHY (MSPT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MSPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SHEDD CIR
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:VA
Mailing Address - Zip Code:24101-4134
Mailing Address - Country:US
Mailing Address - Phone:540-309-7153
Mailing Address - Fax:
Practice Address - Street 1:15 SHEDD CIR
Practice Address - Street 2:
Practice Address - City:HARDY
Practice Address - State:VA
Practice Address - Zip Code:24101-4134
Practice Address - Country:US
Practice Address - Phone:540-309-7153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist