Provider Demographics
NPI:1700311966
Name:BERNER, KATHRYN TIPTON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:TIPTON
Last Name:BERNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 COMMERCE PKWY
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1395
Mailing Address - Country:US
Mailing Address - Phone:205-314-2165
Mailing Address - Fax:205-783-1128
Practice Address - Street 1:240 COMMERCE PKWY
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1395
Practice Address - Country:US
Practice Address - Phone:205-314-2165
Practice Address - Fax:205-783-1128
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH111552251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics