1235388729 NPI number — MRS. CATHERINE S BROWER PFRIMMER DEEP MUSCLE

Table of content: MRS. CATHERINE S BROWER PFRIMMER DEEP MUSCLE (NPI 1235388729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235388729 NPI number — MRS. CATHERINE S BROWER PFRIMMER DEEP MUSCLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWER
Provider First Name:
CATHERINE
Provider Middle Name:
S
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PFRIMMER DEEP MUSCLE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLETCHER
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MASSAGE THERAPIST
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1235388729
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
225 ROCK ROAD
Provider Second Line Business Mailing Address:
GLENDON BORO
Provider Business Mailing Address City Name:
EASTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18042
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-258-7808
Provider Business Mailing Address Fax Number:
610-258-7809

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 ROCK ROAD
Provider Second Line Business Practice Location Address:
GLENDON BORO
Provider Business Practice Location Address City Name:
EASTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-258-7808
Provider Business Practice Location Address Fax Number:
610-258-7809
Provider Enumeration Date:
09/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MCBTMB 158060-00 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225700000X , with the licence number: APIM 637769 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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