Provider Demographics
NPI:1003408675
Name:ROOD, CATHERINE GRACE (PT, DPT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:GRACE
Last Name:ROOD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:GRACE
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3216 SW ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-2842
Mailing Address - Country:US
Mailing Address - Phone:334-399-3825
Mailing Address - Fax:
Practice Address - Street 1:1001 SW 29TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-3202
Practice Address - Country:US
Practice Address - Phone:785-274-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06647225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS11-06674OtherLICENSE