Kathy L. Winslow, RDH, COM

Individual provider Active NPI Mechanotherapist · El Granada, CA

NPI 1083851547 · NPPES record last updated Oct 23, 2023

Key facts

NPI
1083851547
Entity type
Individual (NPI type 1)
Primary specialty
Mechanotherapist 172M00000X
Practice address
931 Ventura Street
El Granada, CA 94018
Phone
(650) 712-1516
Fax
(650) 712-1516
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Group: 193200000X MULTI-SPECIALTY GROUP
225500000X CA
Mechanotherapist
Group: 193200000X MULTI-SPECIALTY GROUP
172M00000X CA Yes
Dental Hygienist 124Q00000X 8820 CA
Specialist 174400000X

Addresses

Primary practice location

931 Ventura Street
El Granada, CA 94018

Mailing address

PO Box 1232
El Granada, CA 94018-1232
Phone (650) 712-1516

Other names

  • Kathy L Winslow Professional name

Other providers in El Granada, CA

All providers in El Granada, CA · Mechanotherapist in California

Sources for this page

Verify at the official NPI Registry.