Provider Demographics
NPI:1689688020
Name:MCMORRAN, KATHERINE (PT, MPT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MCMORRAN
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:DOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 S BARSTOW ST STE 117
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-2618
Mailing Address - Country:US
Mailing Address - Phone:715-514-3700
Mailing Address - Fax:
Practice Address - Street 1:515 S BARSTOW ST STE 117
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-2618
Practice Address - Country:US
Practice Address - Phone:715-514-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7219225100000X
WI10608-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist