Provider Demographics
NPI:1790923514
Name:GEIWITZ, KATIE LOUISE (DPT)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:LOUISE
Last Name:GEIWITZ
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 1:803 DEAN RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-8315
Mailing Address - Country:US
Mailing Address - Phone:724-421-5227
Mailing Address - Fax:
Practice Address - Street 1:803 DEAN RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-8315
Practice Address - Country:US
Practice Address - Phone:724-421-5227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018177225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist