Provider Demographics
NPI:1083795181
Name:MESSERLI, KATRINA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:MARIE
Last Name:MESSERLI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E PLANK RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4110
Mailing Address - Country:US
Mailing Address - Phone:181-429-6222
Mailing Address - Fax:
Practice Address - Street 1:210 E PLANK RD
Practice Address - Street 2:SUITE 9
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4111
Practice Address - Country:US
Practice Address - Phone:181-429-6222
Practice Address - Fax:814-296-2225
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008895111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001393375OtherBLUE CROSS PROVIDER #
PA001393375OtherBLUE CROSS PROVIDER #