Provider Demographics
NPI:1548959257
Name:MCCOMISKEY, KATHARINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:MCCOMISKEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15335 THAYER WAY UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613-2927
Mailing Address - Country:US
Mailing Address - Phone:931-638-2008
Mailing Address - Fax:
Practice Address - Street 1:22454 US HIGHWAY 72
Practice Address - Street 2:SUITE 210
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35613
Practice Address - Country:US
Practice Address - Phone:256-233-4486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic