Provider Demographics
NPI:1134486376
Name:KUECHENMEISTER, DENISE (ATC, PES)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:KUECHENMEISTER
Suffix:
Gender:F
Credentials:ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:WV
Mailing Address - Zip Code:26032-0071
Mailing Address - Country:US
Mailing Address - Phone:770-312-4926
Mailing Address - Fax:
Practice Address - Street 1:147 HUMMEL FIELD HOUSE
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:WV
Practice Address - Zip Code:26032-0071
Practice Address - Country:US
Practice Address - Phone:770-312-4926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer