Provider Demographics
NPI:1366198053
Name:GUTEKUNST, KATHRYNE GREER (DPT)
Entity type:Individual
Prefix:DR
First Name:KATHRYNE
Middle Name:GREER
Last Name:GUTEKUNST
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 1:31 CHASE ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1509
Mailing Address - Country:US
Mailing Address - Phone:860-574-4149
Mailing Address - Fax:
Practice Address - Street 1:219 N MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-4129
Practice Address - Country:US
Practice Address - Phone:802-479-4000
Practice Address - Fax:802-479-4001
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0134387225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist