Provider Demographics
NPI:1730376385
Name:CHEVALIER, KATIE MARIE (PT)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:MARIE
Last Name:CHEVALIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:CHEVALIER
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:96 WAUKEWAN ST
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253-5726
Mailing Address - Country:US
Mailing Address - Phone:603-630-2566
Mailing Address - Fax:
Practice Address - Street 1:169 DANIEL WEBSTER HWY UNIT 3
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-5648
Practice Address - Country:US
Practice Address - Phone:603-800-0011
Practice Address - Fax:877-247-0287
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3275225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist