Healthcare Provider Details

I. General information

NPI: 1568190676
Provider Name (Legal Business Name): KATHLEEN HUFFMAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 08/09/2022
Certification Date: 08/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W SUMMIT AVE
ASHEVILLE NC
28803-0047
US

IV. Provider business mailing address

63 MOUNT CLARE AVE UNIT B
ASHEVILLE NC
28801-1850
US

V. Phone/Fax

Practice location:
  • Phone: 828-944-4210
  • Fax:
Mailing address:
  • Phone: 336-944-3651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP21510
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: