Provider Demographics
NPI:1588839658
Name:MARMOR, KATHRYN MARIE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MARIE
Last Name:MARMOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4233 BARDSTOWN RD
Mailing Address - Street 2:SUITE 100-C
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-3280
Mailing Address - Country:US
Mailing Address - Phone:502-493-3800
Mailing Address - Fax:
Practice Address - Street 1:4233 BARDSTOWN RD
Practice Address - Street 2:SUITE 100-C
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-3280
Practice Address - Country:US
Practice Address - Phone:502-493-3800
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
KY004690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist