MEDICARE: KATHRYN DIFRANK

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

General Provider Information

NPI Number	:	1508268194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHRYN DIFRANK

Provider Business Mailing Address
First Line	:	PO BOX 983
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623-0983
Country	:	US
Telephone Number	:	720-470-0249
Fax Number	:

Provider Business Practice Location Address
First Line	:	652 MELISSA LN
Second Line	:
City	:	CARBONDALE
State	:	CO
Zip	:	81623-2819
Country	:	US
Telephone Number	:	720-470-0249
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	MRS. KATHRYN DOROTHY DIFRANK
Credential	:	MSPT
Telephone Number	:	720-470-0249

Provider Enumeration Date	:	09/25/2014
Last Update Date	:	03/09/2021

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