Katrina L Danhauer
Individual provider Active NPI Developmental Therapist · Waverly, KY
NPI 1003363904 · NPPES record last updated Sep 8, 2016
Key facts
- NPI
- 1003363904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 930 Wallie Clements Rd
Waverly, KY 42462-7015 - Phone
- (270) 952-2069
- Fax
- (270) 389-0946
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
930 Wallie Clements Rd
Waverly, KY 42462-7015
Mailing address
930 Wallie Clements Rd
Waverly, KY 42462-7015
Phone (270) 952-2069
Other providers in Waverly, KY
All providers in Waverly, KY · Developmental Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.