Provider Demographics
NPI:1871691097
Name:TOWNSEND, KATHY MCCOOL (PT)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:MCCOOL
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 W INSKIP DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-4058
Mailing Address - Country:US
Mailing Address - Phone:865-219-9600
Mailing Address - Fax:
Practice Address - Street 1:108 W INSKIP DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-4058
Practice Address - Country:US
Practice Address - Phone:865-219-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000002285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist