Provider Demographics
NPI:1366613366
Name:PATTON, KATHRYN EILEEN (PT)
Entity type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:EILEEN
Last Name:PATTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 OUTLOOK DR
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-1928
Mailing Address - Country:US
Mailing Address - Phone:325-212-6019
Mailing Address - Fax:
Practice Address - Street 1:52 OUTLOOK DR
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-1928
Practice Address - Country:US
Practice Address - Phone:325-212-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTN909452172A00000X
OH012216225100000X
376J00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No376J00000XNursing Service Related ProvidersHomemaker