MEDICARE: KATHLEEN R MCCAULEY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	008535	CT
2	2251X0800X	Orthopedic Physical Therapist	18361	MA

General Provider Information

NPI Number	:	1023245065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN R MCCAULEY PT

Provider Business Mailing Address
First Line	:	334 COLLEGE ST
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 COLLEGE ST
Second Line	:
City	:	AMHERST
State	:	MA
Zip	:	01002-2331
Country	:	US
Telephone Number	:	309-585-0142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2009
Last Update Date	:	04/22/2015

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