MEDICARE: KATHERINE WEBER

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	P24910	NC
2	225100000X	Physical Therapist	CP057936T	SC
3	225100000X	Physical Therapist	13418	SC

General Provider Information

NPI Number	:	1063351005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE WEBER

Provider Business Mailing Address
First Line	:	1795 DEVINNEY RD
Second Line	:
City	:	YORK
State	:	SC
Zip	:	29745-2155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1795 DEVINNEY RD
Second Line	:
City	:	YORK
State	:	SC
Zip	:	29745-2155
Country	:	US
Telephone Number	:	803-335-0780
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	06/03/2026

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Directions to “ KATHERINE WEBER ” Practice Location

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