Provider Demographics
NPI:1720485311
Name:MAURER, KATE ALISON (PT, DPT)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:ALISON
Last Name:MAURER
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:ALISON
Other - Last Name:HEINLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:804 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5620
Mailing Address - Country:US
Mailing Address - Phone:989-573-8266
Mailing Address - Fax:989-778-1237
Practice Address - Street 1:5460 W ROLLING HILLS DR
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:MI
Practice Address - Zip Code:48722-9668
Practice Address - Country:US
Practice Address - Phone:892-724-5009
Practice Address - Fax:989-272-4501
Is Sole Proprietor?:No
Enumeration Date:2014-11-25
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501016318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist