Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 27909 | CA |
N | 225XE1200X | Ergonomics | 27909 | CA |
Y | 225700000X | Massage Therapist | 27909 | CA |
N | 226300000X | Kinesiotherapist | 27909 | CA |
NPI | 1932456118 |
---|---|
Provider Name | Ms. Katie (kt) Mary Feamster |
First Address | Monrovia, CA 91016-2813 |
Second Address | Monrovia, CA 91016-2813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2012 |
Last Update Date | 07/08/2012 |