Healthcare Provider Details

I. General information

NPI: 1528233509
Provider Name (Legal Business Name): KATHY M HSU MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS KATHY MING-LIN CHOI

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E NATOMA ST
FOLSOM CA
95630-2700
US

IV. Provider business mailing address

1301 E BIDWELL ST #201
FOLSOM CA
95630-3452
US

V. Phone/Fax

Practice location:
  • Phone: 916-353-5295
  • Fax:
Mailing address:
  • Phone: 916-983-5915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT26060
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: