Provider Demographics
NPI:1467919548
Name:WEINBERG, KATARINA SOPHIA (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:KATARINA
Middle Name:SOPHIA
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6734 SUMMER GRACE ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-4442
Mailing Address - Country:US
Mailing Address - Phone:703-615-4406
Mailing Address - Fax:
Practice Address - Street 1:9548 PARK MEADOWS DR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5315
Practice Address - Country:US
Practice Address - Phone:720-848-2200
Practice Address - Fax:720-553-0910
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-26
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program