Provider Demographics
NPI:1639462849
Name:BENTLEY, KATHERINE E (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:E
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:SCHREIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8434 WARD PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2031
Mailing Address - Country:US
Mailing Address - Phone:816-237-1926
Mailing Address - Fax:816-237-1984
Practice Address - Street 1:8434 WARD PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2031
Practice Address - Country:US
Practice Address - Phone:816-237-1926
Practice Address - Fax:816-237-1984
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012015743225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist