Provider Demographics
NPI:1467286542
Name:NIVER, KATHERINE ELIZABETH (DPT, PT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:NIVER
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32 WINDWARD DR STE 110
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2174
Mailing Address - Country:US
Mailing Address - Phone:540-949-5383
Mailing Address - Fax:540-949-5493
Practice Address - Street 1:3278 STUARTS DRAFT HWY STE 4
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-7370
Practice Address - Country:US
Practice Address - Phone:540-627-5030
Practice Address - Fax:540-627-5030
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA2305216765225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist