Provider Demographics
NPI:1396786539
Name:ADDINGTON, CATHY (LPT)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:ADDINGTON
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W GRANITE ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-9215
Mailing Address - Country:US
Mailing Address - Phone:406-490-6984
Mailing Address - Fax:406-494-2979
Practice Address - Street 1:1049 W PORPHYRY ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2227
Practice Address - Country:US
Practice Address - Phone:406-490-6984
Practice Address - Fax:406-494-2979
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT3402061Medicaid
MTP00185742OtherRAILROAD MEDICARE
MT3402061Medicaid