Provider Demographics
NPI:1952363806
Name:LASH, KATHLEEN J (PT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:J
Last Name:LASH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:438 PELLIS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7900
Mailing Address - Country:US
Mailing Address - Phone:724-850-7587
Mailing Address - Fax:724-850-9909
Practice Address - Street 1:1025 LATROBE THIRTY PLZ
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-2865
Practice Address - Country:US
Practice Address - Phone:724-532-0940
Practice Address - Fax:724-532-0945
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005425L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA088689UY6OtherMEDICARE
PAQ37928Medicare UPIN