Provider Demographics
NPI:1154609188
Name:SANCHEZ, KATHRYN E (PTA)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:E
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:KATHRYN
Other - Middle Name:E
Other - Last Name:TOYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:324 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:NE
Mailing Address - Zip Code:68873-2333
Mailing Address - Country:US
Mailing Address - Phone:308-754-8209
Mailing Address - Fax:
Practice Address - Street 1:610 N DARR AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4635
Practice Address - Country:US
Practice Address - Phone:308-382-2635
Practice Address - Fax:308-382-0418
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE543225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant