Provider Demographics
NPI:1710265699
Name:KASEMIR, KATHARINA CHRISTINE (DPT)
Entity Type:Individual
Prefix:
First Name:KATHARINA
Middle Name:CHRISTINE
Last Name:KASEMIR
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 1:1768 DUSTY BOOT DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1409
Mailing Address - Country:US
Mailing Address - Phone:720-660-0064
Mailing Address - Fax:
Practice Address - Street 1:1768 DUSTY BOOT DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-1409
Practice Address - Country:US
Practice Address - Phone:720-660-0064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO112982251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic