Provider Demographics
NPI:1679829246
Name:LEVINGS, KATHALEEN CECILE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHALEEN
Middle Name:CECILE
Last Name:LEVINGS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3754 HIGHWAY 90 STE 100
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-1097
Mailing Address - Country:US
Mailing Address - Phone:850-746-0100
Mailing Address - Fax:
Practice Address - Street 1:3754 HIGHWAY 90 STE 100
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-1097
Practice Address - Country:US
Practice Address - Phone:850-746-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27317225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist