Provider Demographics
NPI:1467853200
Name:PERKINS, KATE ELIZABETH (ATC)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:ELIZABETH
Last Name:PERKINS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 BRUINS TRCE
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6845
Mailing Address - Country:US
Mailing Address - Phone:901-232-3650
Mailing Address - Fax:
Practice Address - Street 1:514 BRUINS TRCE
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6845
Practice Address - Country:US
Practice Address - Phone:901-232-3650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAT 00000009192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer