Provider Demographics
NPI:1194279703
Name:ZISK, KATHERINE ALBERT (DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ALBERT
Last Name:ZISK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 420
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5491
Mailing Address - Country:US
Mailing Address - Phone:984-215-6533
Mailing Address - Fax:
Practice Address - Street 1:101 MEADOWLANDS DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8500
Practice Address - Country:US
Practice Address - Phone:919-732-6600
Practice Address - Fax:919-732-2779
Is Sole Proprietor?:No
Enumeration Date:2016-08-11
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070022358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist