Provider Demographics
NPI:1932315140
Name:WRIGHT, KATHLENE (ATC)
Entity Type:Individual
Prefix:MISS
First Name:KATHLENE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 HUNSICKER DR
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2665
Mailing Address - Country:US
Mailing Address - Phone:610-454-1165
Mailing Address - Fax:
Practice Address - Street 1:601 E. MAIN ST.
Practice Address - Street 2:ATHLETIC TRAINING DEPT. URSINUS COLLEGE
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426
Practice Address - Country:US
Practice Address - Phone:610-409-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART000184A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer