Provider Demographics
NPI:1588777965
Name:FAULS, CATHERINE (PT)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:FAULS
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 1:2226 ARBOUR WALK CIR APT 1928
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-8804
Mailing Address - Country:US
Mailing Address - Phone:239-961-4048
Mailing Address - Fax:
Practice Address - Street 1:1717 DIXIE HWY STE A
Practice Address - Street 2:
Practice Address - City:FT WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011-2766
Practice Address - Country:US
Practice Address - Phone:859-578-0022
Practice Address - Fax:859-441-6380
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY006027225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist