Rivers, Katie Ann

Rivers, Katie Ann is an sole proprietor health care provider with primary practice located at 617 Gales Ave , Winston Salem NC 27103-3715. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Rivers, Katie Ann can be contacted via phone (334) 332-6742.

Contact Information

Primary practice address

617 Gales Ave Winston Salem NC 27103-3715

Phone: (334) 332-6742

Fax: (336) 293-8199

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics	2251P0200X	12881	North Carolina

Profile Details

NPI number	1285967802
LBN Legal business name	Rivers, Katie Ann
Credentials	PT, DPT
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Sep 14th, 2009
Last updated	Nov 20th, 2012 - about 13 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

State	Type	Number	Issuer
All States	NPI	1285967802	NPPES
North Carolina	MEDICAID	7212896

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