Provider Demographics
NPI:1952669723
Name:MORRISON, KATHERINE ANN (DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:MORRISON
Suffix:
Gender:F
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:BRIMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:433 SOSCOL AVE
Mailing Address - Street 2:SUITE B 191
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-4040
Mailing Address - Country:US
Mailing Address - Phone:707-227-3131
Mailing Address - Fax:707-224-2356
Practice Address - Street 1:433 SOSCOL AVE
Practice Address - Street 2:SUITE B 191
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4040
Practice Address - Country:US
Practice Address - Phone:707-227-3131
Practice Address - Fax:707-224-2356
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT38532261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy