Provider Demographics
NPI:1447020367
Name:SARTORIUS, KATHERINE (PT,DPT)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:SARTORIUS
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 AMAZONAS DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-6821
Mailing Address - Country:US
Mailing Address - Phone:573-761-9178
Mailing Address - Fax:573-681-3719
Practice Address - Street 1:3507 AMAZONAS DR
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-6821
Practice Address - Country:US
Practice Address - Phone:573-761-9178
Practice Address - Fax:573-681-3719
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014027007225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist