Provider Demographics
NPI:1972931830
Name:FRANZEN, KATHLEEN (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:FRANZEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470-4589
Mailing Address - Country:US
Mailing Address - Phone:910-755-5863
Mailing Address - Fax:910-755-5864
Practice Address - Street 1:4501 MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-4589
Practice Address - Country:US
Practice Address - Phone:910-755-5863
Practice Address - Fax:910-755-5864
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP14564225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist