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NPI Code Detail

MEDICARE: KATRINA BANKS PT, DPT, CSRS

MEDICARE: KATRINA BANKS PT, DPT, CSRS
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 Therapist19647MA

General Provider Information

NPI Number : 1164872362
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA BANKS PT, DPT, CSRS
Provider Business Mailing Address
First Line : 98 LOWER WESTFIELD RD
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-9403
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 98 LOWER WESTFIELD RD
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-9403
Country : US
Telephone Number : 413-318-4776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2016
Last Update Date : 01/27/2026

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Directions to “ KATRINA BANKS PT, DPT, CSRS” Practice Location

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