Healthcare Provider Details

I. General information

NPI: 1033021266
Provider Name (Legal Business Name): KATHRYN ROSANNE GIESKEN CPO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATY GIESKEN CPO

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 PIEDMONT ROW DR S STE 320
CHARLOTTE NC
28210-3881
US

IV. Provider business mailing address

1406 MEADOW LN
CHARLOTTE NC
28205-1755
US

V. Phone/Fax

Practice location:
  • Phone: 704-644-3636
  • Fax: 704-644-8899
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: