Provider Demographics
NPI:1497503635
Name:WERNET, CATHERINE MARIE (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARIE
Last Name:WERNET
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 1:2942 SNOW AVE SE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49331-9524
Mailing Address - Country:US
Mailing Address - Phone:616-322-3700
Mailing Address - Fax:
Practice Address - Street 1:1225 SPAULDING AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-6304
Practice Address - Country:US
Practice Address - Phone:616-383-2866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011996225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist