Provider Demographics
NPI:1689038317
Name:HORITA, CATHERINE LEIGH (ATC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LEIGH
Last Name:HORITA
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 OLD WIRE RD
Mailing Address - Street 2:
Mailing Address - City:ATKINS
Mailing Address - State:AR
Mailing Address - Zip Code:72823-7609
Mailing Address - Country:US
Mailing Address - Phone:501-208-2727
Mailing Address - Fax:
Practice Address - Street 1:358 OLD WIRE RD
Practice Address - Street 2:
Practice Address - City:ATKINS
Practice Address - State:AR
Practice Address - Zip Code:72823-7609
Practice Address - Country:US
Practice Address - Phone:501-208-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL40962255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer