Basic Information
| Provider Information | |||||||||
| NPI: | 1740835826 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINCHER | ||||||||
| FirstName: | KATHARINE | ||||||||
| MiddleName: | |||||||||
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| Credential: | PT | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | DAVIS | ||||||||
| OtherFirstName: | KATHARINE | ||||||||
| OtherMiddleName: | GRACE | ||||||||
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| OtherCredential: | PT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 60 SHUFORD RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287227406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8288940277 | ||||||||
| FaxNumber: | 8288940278 | ||||||||
| Practice Location | |||||||||
| Address1: | 1109 E RUTHERFORD ST | ||||||||
| Address2: | STE A | ||||||||
| City: | LANDRUM | ||||||||
| State: | SC | ||||||||
| PostalCode: | 293561728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8644571077 | ||||||||
| FaxNumber: | 8644571079 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2019 | ||||||||
| LastUpdateDate: | 09/26/2022 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | P19080 | NC | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 10203 | SC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.