Provider Demographics
NPI:1720207582
Name:KLEIN, KATHLEEN ESTHER (PT,CHT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ESTHER
Last Name:KLEIN
Suffix:
Gender:F
Credentials:PT,CHT
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:ELLEN
Other - Last Name:SNOUFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1161 MCDERMOTT DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4064
Mailing Address - Country:US
Mailing Address - Phone:484-356-9401
Mailing Address - Fax:484-356-9405
Practice Address - Street 1:1651 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1453
Practice Address - Country:US
Practice Address - Phone:919-258-2714
Practice Address - Fax:410-648-4878
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002348225100000X
PAPT017738174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist