Provider Demographics
NPI:1457801581
Name:FERGUSON, KATHERINE BAILEY (DPT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BAILEY
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4909
Mailing Address - Country:US
Mailing Address - Phone:423-206-4158
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:513 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-4021
Practice Address - Country:US
Practice Address - Phone:662-268-8013
Practice Address - Fax:662-680-5217
Is Sole Proprietor?:No
Enumeration Date:2016-10-13
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT7065225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist