Provider Demographics
NPI:1891906749
Name:RUNION, KATHLEEN J (PT)
Entity Type:Individual
Prefix:MR
First Name:KATHLEEN
Middle Name:J
Last Name:RUNION
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 1:101 CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:ALCESTER
Mailing Address - State:SD
Mailing Address - Zip Code:57001
Mailing Address - Country:US
Mailing Address - Phone:605-934-2011
Mailing Address - Fax:605-934-9923
Practice Address - Street 1:101 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:ALCESTER
Practice Address - State:SD
Practice Address - Zip Code:57001-0500
Practice Address - Country:US
Practice Address - Phone:605-934-2011
Practice Address - Fax:605-934-9923
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0434225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist