Provider Demographics
NPI:1053771410
Name:FINZEL, CATHERINE GRACE CONNELL (PT, DPT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:GRACE CONNELL
Last Name:FINZEL
Suffix:
Gender:F
Credentials:PT, DPT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4503
Mailing Address - Country:US
Mailing Address - Phone:812-242-2332
Mailing Address - Fax:812-242-2772
Practice Address - Street 1:4555 S 7TH ST
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4503
Practice Address - Country:US
Practice Address - Phone:812-242-2332
Practice Address - Fax:812-242-2772
Is Sole Proprietor?:No
Enumeration Date:2016-02-28
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36002678A2255A2300X
IN05013501A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer