Provider Demographics
NPI:1770890543
Name:CAMPBELL, CATHERINE SCHNELL (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SCHNELL
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:PATRICIA
Other - Last Name:SCHNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 W 44TH ST
Mailing Address - Street 2:STE 403
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-8102
Mailing Address - Country:US
Mailing Address - Phone:212-759-2280
Mailing Address - Fax:
Practice Address - Street 1:390 EMPIRE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2605
Practice Address - Country:US
Practice Address - Phone:720-216-5128
Practice Address - Fax:720-316-6744
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0329391225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist