Provider Demographics
NPI:1285804112
Name:ROY, KATHRYN SCHNEIDER (PT,DPT, ATC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SCHNEIDER
Last Name:ROY
Suffix:
Gender:F
Credentials:PT,DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5919 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8132
Mailing Address - Country:US
Mailing Address - Phone:502-292-0800
Mailing Address - Fax:502-292-0400
Practice Address - Street 1:5919 TIMBER RIDGE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-8132
Practice Address - Country:US
Practice Address - Phone:502-292-0800
Practice Address - Fax:502-292-0400
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist