Provider Demographics
NPI:1548562895
Name:LAMBERT, KATHERINE MORRIS (RPT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:MORRIS
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 JEWETT AVENUE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1617
Mailing Address - Country:US
Mailing Address - Phone:219-923-8713
Mailing Address - Fax:219-923-8714
Practice Address - Street 1:2825 JEWETT AVENUE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1617
Practice Address - Country:US
Practice Address - Phone:219-923-8713
Practice Address - Fax:219-923-8714
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010101A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist