Healthcare Provider Details

I. General information

NPI: 1942216262
Provider Name (Legal Business Name): KATHERINE E NEWTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 S HERLONG AVE STE 110
ROCK HILL SC
29732-1089
US

IV. Provider business mailing address

3611 ARMSTRONG FORD RD
ROCK HILL SC
29730-8362
US

V. Phone/Fax

Practice location:
  • Phone: 803-980-5080
  • Fax: 803-980-5083
Mailing address:
  • Phone: 803-673-9584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number225000000X
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: