Provider Demographics
NPI:1477994739
Name:BOYNTON, KATHARINE ELIZABETH (MS, LATC, CKTP)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:ELIZABETH
Last Name:BOYNTON
Suffix:
Gender:F
Credentials:MS, LATC, CKTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CENTRAL CT
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-3600
Mailing Address - Country:US
Mailing Address - Phone:603-707-0843
Mailing Address - Fax:
Practice Address - Street 1:450 HOPE ST
Practice Address - Street 2:3RD FL
Practice Address - City:BRISTOL
Practice Address - State:RI
Practice Address - Zip Code:02809-1834
Practice Address - Country:US
Practice Address - Phone:401-396-9581
Practice Address - Fax:401-396-9583
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAT002682255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer