MEDICARE: KATHRYN MAASZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT004105L	PA

General Provider Information

NPI Number	:	1265431068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MAASZ

Provider Business Mailing Address
First Line	:	717 STATE ST
Second Line	:	SUITE 16
City	:	ERIE
State	:	PA
Zip	:	16501-1341
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4934 PEACH ST
Second Line	:	ATTN: TRAC REHAB PEACH
City	:	ERIE
State	:	PA
Zip	:	16509-2043
Country	:	US
Telephone Number	:	814-864-5097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	06/15/2021

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Directions to “ KATHRYN MAASZ ” Practice Location

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