Provider Demographics
NPI:1538193941
Name:PAMPERIN, CATHERINE PETRA (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PETRA
Last Name:PAMPERIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8525 CONSTANCE
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2449
Mailing Address - Country:US
Mailing Address - Phone:913-220-7951
Mailing Address - Fax:
Practice Address - Street 1:8525 CONSTANCE
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2449
Practice Address - Country:US
Practice Address - Phone:913-220-7951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-022092251P0200X
MORO1572251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics