Provider Demographics
NPI:1861891020
Name:TARPEY, KATHLEEN P (PT, DPT)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:P
Last Name:TARPEY
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 1:3600 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-2630
Mailing Address - Country:US
Mailing Address - Phone:215-677-0400
Mailing Address - Fax:215-677-5181
Practice Address - Street 1:3600 GRANT AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-2630
Practice Address - Country:US
Practice Address - Phone:215-677-0400
Practice Address - Fax:215-677-5181
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist