Davis, Kathy J.

Davis, Kathy J. is an individual health care provider with primary practice located at 77 Massachusetts Ave W35-115, Cambridge MA 02139-4301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Davis, Kathy J. can be contacted via phone (617) 253-4908.

Contact Information

Primary practice address
77 Massachusetts Ave W35-115 Cambridge MA 02139-4301
Phone: (617) 253-4908
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 11 Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 8 New Hampshire

Profile Details

NPI number 1659369007
LBN Legal business name Davis, Kathy J.
Credentials PHD, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659369007 NPPES
Massachusetts Other 2255A2300X ATHLETIC TRAINING SERVICE

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