Provider Demographics
NPI:1801210869
Name:MCDERMOTT, KATE (DPT)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:MCDERMOTT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 W BITNER RD UNIT F304
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-5025
Mailing Address - Country:US
Mailing Address - Phone:603-339-1710
Mailing Address - Fax:
Practice Address - Street 1:2700 RASMUSSEN RD STE L50
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-6481
Practice Address - Country:US
Practice Address - Phone:603-339-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-11
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8782312-2401225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist