Provider Demographics
NPI:1831594662
Name:FERRARO, KATHARINE JANETTE (ATC)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:JANETTE
Last Name:FERRARO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 N HANCOCK AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2623
Mailing Address - Country:US
Mailing Address - Phone:719-635-0003
Mailing Address - Fax:719-635-0020
Practice Address - Street 1:1504 N HANCOCK AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2623
Practice Address - Country:US
Practice Address - Phone:719-635-0003
Practice Address - Fax:719-635-0020
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAT.00013592081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine