Provider Demographics
NPI:1023425006
Name:WOLF, KATE ELIZABETH (DPT)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:ELIZABETH
Last Name:WOLF
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 BREWSTERS RUN CT
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-1478
Mailing Address - Country:US
Mailing Address - Phone:513-225-5371
Mailing Address - Fax:
Practice Address - Street 1:10560 SUCCESS LN STE G
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-3697
Practice Address - Country:US
Practice Address - Phone:513-225-5371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14806225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist