Provider Demographics
NPI:1093216012
Name:BUHR, KATHLEEN GRIFFITH
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:GRIFFITH
Last Name:BUHR
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 1:33101 HAMPSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-2952
Mailing Address - Country:US
Mailing Address - Phone:248-470-4649
Mailing Address - Fax:313-827-7061
Practice Address - Street 1:18700 AUDETTE ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-4222
Practice Address - Country:US
Practice Address - Phone:313-827-7059
Practice Address - Fax:313-827-7061
Is Sole Proprietor?:No
Enumeration Date:2018-02-25
Last Update Date:2018-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201000061225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist