Provider Demographics
NPI:1730553017
Name:CATALANO HUBER, RICHARD ANDREW (DPT)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ANDREW
Last Name:CATALANO HUBER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:ANDREW
Other - Last Name:HUBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 DALLAS PKWY STE 290
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7493
Mailing Address - Country:US
Mailing Address - Phone:945-260-0010
Mailing Address - Fax:
Practice Address - Street 1:2190 E 11TH AVE
Practice Address - Street 2:APT 437
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-2980
Practice Address - Country:US
Practice Address - Phone:561-385-7022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0013694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist