Provider Demographics
NPI:1427911874
Name:GEBERT, KATHRYN ANNE (MSPT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANNE
Last Name:GEBERT
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WHIXLEY LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6059
Mailing Address - Country:US
Mailing Address - Phone:603-512-9227
Mailing Address - Fax:
Practice Address - Street 1:38 RAY E TALLEY CT STE A
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-7507
Practice Address - Country:US
Practice Address - Phone:864-603-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4918225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist