Provider Demographics
NPI:1245466622
Name:MORROW, KATHERINE DANIELLE (PT)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:DANIELLE
Last Name:MORROW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:KATHERINE
Other - Middle Name:DANIELLE
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1957 NEWARK LN
Mailing Address - Street 2:
Mailing Address - City:THOMPSONS STATION
Mailing Address - State:TN
Mailing Address - Zip Code:37179-9659
Mailing Address - Country:US
Mailing Address - Phone:225-603-4043
Mailing Address - Fax:
Practice Address - Street 1:1957 NEWARK LN
Practice Address - Street 2:
Practice Address - City:THOMPSONS STATION
Practice Address - State:TN
Practice Address - Zip Code:37179
Practice Address - Country:US
Practice Address - Phone:225-603-4043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-30
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04076225100000X
TN10082225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist