Provider Demographics
NPI:1760778476
Name:GUYER, KATIE LEA (DPT)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:LEA
Last Name:GUYER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:LEA
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2109 CEDARWOOD DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-2670
Mailing Address - Country:US
Mailing Address - Phone:563-263-0557
Mailing Address - Fax:563-263-0560
Practice Address - Street 1:2109 CEDARWOOD DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2670
Practice Address - Country:US
Practice Address - Phone:563-263-0557
Practice Address - Fax:563-263-0560
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0047902251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics