Provider Demographics
NPI:1528233509
Name:HSU, KATHY M (MPT)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:M
Last Name:HSU
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:KATHY
Other - Middle Name:MING-LIN
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1301 E BIDWELL ST
Mailing Address - Street 2:#201
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3452
Mailing Address - Country:US
Mailing Address - Phone:916-983-5915
Mailing Address - Fax:
Practice Address - Street 1:101 E NATOMA ST
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2700
Practice Address - Country:US
Practice Address - Phone:916-353-5295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist