Provider Demographics
NPI:1205417680
Name:ST PETER, KATELYN MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:MARIE
Last Name:ST PETER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:MARIE
Other - Last Name:MICHAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:552 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-4404
Mailing Address - Country:US
Mailing Address - Phone:207-494-4271
Mailing Address - Fax:
Practice Address - Street 1:552 MAIN ST
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-4404
Practice Address - Country:US
Practice Address - Phone:207-494-4271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-18
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist