Provider Demographics
NPI:1235575978
Name:NEEB, KATHERINE (DPT)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:NEEB
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:FARLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12444 TESLA PL
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-8956
Mailing Address - Country:US
Mailing Address - Phone:530-362-8780
Mailing Address - Fax:530-270-9364
Practice Address - Street 1:565 BRUNSWICK RD STE 1
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-9529
Practice Address - Country:US
Practice Address - Phone:530-362-8780
Practice Address - Fax:530-270-9364
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT36926225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist