Provider Demographics
NPI:1831598234
Name:KIGGINS, CATHERINE NICOLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NICOLE
Last Name:KIGGINS
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 1:415 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-6135
Mailing Address - Country:US
Mailing Address - Phone:716-690-2051
Mailing Address - Fax:716-690-2160
Practice Address - Street 1:415 TREMONT ST
Practice Address - Street 2:
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-6135
Practice Address - Country:US
Practice Address - Phone:716-690-2051
Practice Address - Fax:716-690-2160
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037826-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist