Provider Demographics
NPI:1326396334
Name:SIROS, KATHERINE E (PT, DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:SIROS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 W DRAKE RD BLDG E STE A
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5556
Mailing Address - Country:US
Mailing Address - Phone:970-416-8342
Mailing Address - Fax:970-416-8344
Practice Address - Street 1:702 W DRAKE ROAD, BLDG E, STE A
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5556
Practice Address - Country:US
Practice Address - Phone:970-416-8342
Practice Address - Fax:970-416-8344
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13751225100000X
AZ9949225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist