MEDICARE: KATE PAULHUS DPT

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	21300	MA

General Provider Information

NPI Number	:	1851779292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE PAULHUS DPT

Provider Business Mailing Address
First Line	:	1 CREDIT UNION WAY FL 3
Second Line	:
City	:	RANDOLPH
State	:	MA
Zip	:	02368-4633
Country	:	US
Telephone Number	:	781-961-3370
Fax Number	:	781-961-1291

Provider Business Practice Location Address
First Line	:	133 HIGHLAND AVE
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-2774
Country	:	US
Telephone Number	:	978-741-0666
Fax Number	:	978-745-2706

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

Provider Enumeration Date	:	05/18/2015
Last Update Date	:	10/09/2018

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Directions to “ KATE PAULHUS DPT” Practice Location

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