Basic Information
Provider Information
NPI: 1790185676
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FARQUHAR
FirstName: KATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: RAHKE
OtherFirstName: KATHERINE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 800 CRESCENT CENTRE DR STE 600
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370677286
CountryCode: US
TelephoneNumber: 6153731350
FaxNumber: 6152219054
Practice Location
Address1: 6485 UNIVERSITY DR NW STE C
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 358061715
CountryCode: US
TelephoneNumber: 8565138286
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/28/2014
LastUpdateDate: 05/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPTH7302ALY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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