Provider Demographics
NPI:1700534963
Name:DEMARCHI, KATINA (DPT)
Entity Type:Individual
Prefix:DR
First Name:KATINA
Middle Name:
Last Name:DEMARCHI
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 1:12525 CHESTERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2658
Mailing Address - Country:US
Mailing Address - Phone:440-668-4325
Mailing Address - Fax:
Practice Address - Street 1:12525 CHESTERFIELD LN
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2658
Practice Address - Country:US
Practice Address - Phone:440-668-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty