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NPI Code Detail

MEDICARE: MRS. KATHERINE MOHR M.P.T.

MEDICARE: MRS. KATHERINE MOHR M.P.T.
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
1225100000XPhysical Therapist5501002831MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
130462OTHERBCBS

General Provider Information

NPI Number : 1083640585
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE MOHR M.P.T.
Provider Business Mailing Address
First Line : 35413 SCHOENHERR RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-4258
Country : US
Telephone Number : 586-978-7900
Fax Number : 586-978-7710
Provider Business Practice Location Address
First Line : 35413 SCHOENHERR RD
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48312-4258
Country : US
Telephone Number : 586-978-7900
Fax Number : 586-978-7710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2006
Last Update Date : 07/08/2007

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