Provider Demographics
NPI:1154962306
Name:PARKER, KATE LYNN (ATC)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:LYNN
Last Name:PARKER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ACADEMY LN
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01342
Mailing Address - Country:US
Mailing Address - Phone:413-774-1832
Mailing Address - Fax:
Practice Address - Street 1:7 BOYDEN LN
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01342-5002
Practice Address - Country:US
Practice Address - Phone:413-774-1832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer