Provider Demographics
NPI:1275011074
Name:GATHINGS, KATHLEEN THERESA (RRT, RPFT, CCT)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:THERESA
Last Name:GATHINGS
Suffix:
Gender:F
Credentials:RRT, RPFT, CCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:9961 SIERRA AVE
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-6720
Mailing Address - Country:US
Mailing Address - Phone:909-427-5270
Mailing Address - Fax:909-427-4434
Practice Address - Street 1:9961 SIERRA AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335
Practice Address - Country:US
Practice Address - Phone:909-427-5270
Practice Address - Fax:909-427-4434
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00024861246W00000X
CA15677225B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist
No246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology