Provider Demographics
NPI:1780976142
Name:DRAPER, KATHERINE DIANNE (PT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DIANNE
Last Name:DRAPER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:DIANNE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1789 KIRBY PKWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3684
Mailing Address - Country:US
Mailing Address - Phone:901-759-1282
Mailing Address - Fax:901-759-1290
Practice Address - Street 1:1244 PRIMACY PKWY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0201
Practice Address - Country:US
Practice Address - Phone:901-759-1282
Practice Address - Fax:901-759-1290
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8457225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist