Provider Demographics
NPI:1760658173
Name:SWEENEY, KATHLEEN (PT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:VOSBURGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:600 FIRST AVENUE NORTH
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59845
Mailing Address - Country:US
Mailing Address - Phone:406-741-2992
Mailing Address - Fax:406-741-2994
Practice Address - Street 1:600 FIRST AVENUE NORTH
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:MT
Practice Address - Zip Code:59845
Practice Address - Country:US
Practice Address - Phone:406-741-2992
Practice Address - Fax:406-741-2994
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2017-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1328225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist