Kathe Davis, Pt, Pllc

NPI #1073784500 in Pueblo, Colorado

Provider Information

NPI Number: 1073784500
Entity Type: Organization
Organization Name: Kathe Davis, Pt, Pllc
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Mar 12, 2008
Last Updated: Mar 12, 2008

Practice Location

Address: 511 WEST 29TH ST
Address 2: SUITE B
City: Pueblo
State: Colorado
ZIP Code: 81008
Phone: (719) 543-9202

Authorized Official

Name: EMILIE J COOK
Title: BILLING/BOOKKEEPER
Phone: (719) 543-9202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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