Kathleen P Hall, PT
Individual provider Active NPI Physical Therapist · St Johnsbury, VT
NPI 1508955253 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508955253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 010-0002098 (VT)
- Practice address
- 97 Sherman Dr
St Johnsbury, VT 05819-9280 - Phone
- (802) 748-3722
- Fax
- (802) 748-1593
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010-0002098 | VT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010-0002098 | VT | Yes |
Addresses
Primary practice location
97 Sherman Dr
St Johnsbury, VT 05819-9280
Mailing address
97 Sherman Dr
St Johnsbury, VT 05819-9280
Phone (802) 748-3722
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29404 | Other | VT | BLUE CROSS BLUE SHIELD VT |
Other providers in St Johnsbury, VT
- Sarah Grycza
- Erica Michelle Guelette
- Krista Haight
- Elizabeth Hale
- Julie Anne Hall
- Kenneth Andrew Hapke
- Katherine A. Harris
- John M Hartong
- Hawkins Dental Group
- Robert S Hawkins
All providers in St Johnsbury, VT · Physical Therapist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.