Provider Demographics
NPI:1295888568
Name:DONAHUE, CATHERINE (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26719 PLEASANT PARK RD
Mailing Address - Street 2:UNIT 220
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-7756
Mailing Address - Country:US
Mailing Address - Phone:303-674-7889
Mailing Address - Fax:
Practice Address - Street 1:1262 BERGEN PKWY UNIT E10
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-9546
Practice Address - Country:US
Practice Address - Phone:303-674-7889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034791225100000X
CO13766225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist