Provider Demographics
NPI:1366683930
Name:KATZENMEIER, NIKI CRYSTAL (DC)
Entity Type:Individual
Prefix:DR
First Name:NIKI
Middle Name:CRYSTAL
Last Name:KATZENMEIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NIKI
Other - Middle Name:CRYSTAL
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:340 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2438
Mailing Address - Country:US
Mailing Address - Phone:303-814-9262
Mailing Address - Fax:303-814-9264
Practice Address - Street 1:340 3RD ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2438
Practice Address - Country:US
Practice Address - Phone:303-814-9262
Practice Address - Fax:303-814-9264
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor