Provider Demographics
NPI:1093559841
Name:MORIN, KATHERINE V (PT, DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:V
Last Name:MORIN
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 1:1192 COTTONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9334
Mailing Address - Country:US
Mailing Address - Phone:317-498-6166
Mailing Address - Fax:
Practice Address - Street 1:1192 COTTONWOOD CT
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9334
Practice Address - Country:US
Practice Address - Phone:317-498-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05012189A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist