Provider Demographics
NPI:1821987603
Name:WORKMAN, KATHERINE A (LMT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARLINTON
Mailing Address - State:WV
Mailing Address - Zip Code:24954-1343
Mailing Address - Country:US
Mailing Address - Phone:304-651-7977
Mailing Address - Fax:
Practice Address - Street 1:102 8TH ST
Practice Address - Street 2:
Practice Address - City:MARLINTON
Practice Address - State:WV
Practice Address - Zip Code:24954-1024
Practice Address - Country:US
Practice Address - Phone:304-651-7977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-28
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2024-4156225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist