Provider Demographics
NPI:1720459449
Name:KOUNNAS, KATHARINE (PT)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:KOUNNAS
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 1:5305 TECHNOLOGY DR STE 4
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3523
Mailing Address - Country:US
Mailing Address - Phone:813-973-1212
Mailing Address - Fax:
Practice Address - Street 1:5305 TECHNOLOGY DR STE 4
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3523
Practice Address - Country:US
Practice Address - Phone:813-973-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
FLPT21351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist