Provider Demographics
NPI:1386767887
Name:ARCHER, KATHERINE NICOLE (DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:NICOLE
Last Name:ARCHER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:25 HALL STREET SUITE 201
Mailing Address - Street 2:PROFESSIONAL PHYSICAL THERAPY SERVICES
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-226-3500
Mailing Address - Fax:603-226-3420
Practice Address - Street 1:25 HALL ST STE 201
Practice Address - Street 2:PROFESSIONAL PHYSICAL THERAPY SERVICES
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3471
Practice Address - Country:US
Practice Address - Phone:603-226-3500
Practice Address - Fax:603-226-3420
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist