Provider Demographics
NPI:1336333947
Name:ARCHER, KATHERYN LEE (PT)
Entity Type:Individual
Prefix:
First Name:KATHERYN
Middle Name:LEE
Last Name:ARCHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHERYN
Other - Middle Name:LEE
Other - Last Name:AUGSBURGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4157 STONECROP DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8823
Mailing Address - Country:US
Mailing Address - Phone:419-348-2540
Mailing Address - Fax:
Practice Address - Street 1:4157 STONECROP DR
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-8823
Practice Address - Country:US
Practice Address - Phone:419-353-3759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT10531225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist