Provider Demographics
NPI:1003363904
Name:DANHAUER, KATRINA L
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:L
Last Name:DANHAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 WALLIE CLEMENTS RD
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:KY
Mailing Address - Zip Code:42462-7015
Mailing Address - Country:US
Mailing Address - Phone:270-952-2069
Mailing Address - Fax:270-389-0946
Practice Address - Street 1:930 WALLIE CLEMENTS RD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:KY
Practice Address - Zip Code:42462-7015
Practice Address - Country:US
Practice Address - Phone:270-952-2069
Practice Address - Fax:270-389-0946
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist