Provider Demographics
NPI:1639115314
Name:RORER, KATHY RENEE (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:RENEE
Last Name:RORER
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 1:2345 NEW HOLT RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-7404
Mailing Address - Country:US
Mailing Address - Phone:270-554-2883
Mailing Address - Fax:270-554-2885
Practice Address - Street 1:2345 NEW HOLT RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-7404
Practice Address - Country:US
Practice Address - Phone:270-554-2883
Practice Address - Fax:270-554-2885
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist