Provider Demographics
NPI:1285999581
Name:SHOWMAKER, KADY MICHELLE (DPT)
Entity type:Individual
Prefix:
First Name:KADY
Middle Name:MICHELLE
Last Name:SHOWMAKER
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 1:607 LOUIS DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2843
Mailing Address - Country:US
Mailing Address - Phone:215-675-2330
Mailing Address - Fax:215-675-5807
Practice Address - Street 1:607 LOUIS DR
Practice Address - Street 2:SUITE H
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2843
Practice Address - Country:US
Practice Address - Phone:215-675-2330
Practice Address - Fax:215-675-5807
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist