Provider Demographics
NPI:1922322478
Name:COVELL, CATHERINE E (PT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:COVELL
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 1:6995 N 750 W
Mailing Address - Street 2:
Mailing Address - City:ORLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46776-9724
Mailing Address - Country:US
Mailing Address - Phone:260-829-6363
Mailing Address - Fax:
Practice Address - Street 1:6995 N 750 W
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:IN
Practice Address - Zip Code:46776-9724
Practice Address - Country:US
Practice Address - Phone:260-829-6363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005005A225100000X
MI5501009919225100000X
PAPT017041225100000X
INMT20903191225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist