Healthcare Provider Details

I. General information

NPI: 1609547793
Provider Name (Legal Business Name): KATE DRABATO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 RIDGE RD
JACKSON SPRINGS NC
27281-9769
US

IV. Provider business mailing address

2 RIDGE RD
JACKSON SPRINGS NC
27281-9769
US

V. Phone/Fax

Practice location:
  • Phone: 910-315-0729
  • Fax: 866-524-0909
Mailing address:
  • Phone: 910-315-0729
  • Fax: 866-524-0909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30001040
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: