Provider Demographics
NPI:1871083550
Name:KATHOL, BRITNEY LYNN (DPT)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:LYNN
Last Name:KATHOL
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 1:88979 565 AVE
Mailing Address - Street 2:
Mailing Address - City:HARTINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739-6066
Mailing Address - Country:US
Mailing Address - Phone:402-640-8357
Mailing Address - Fax:
Practice Address - Street 1:1101 BROADWAY AVE STE 115B
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-2836
Practice Address - Country:US
Practice Address - Phone:605-260-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist