Provider Demographics
NPI:1538470836
Name:SVIHLIK, KATIE MARIE (MS, ATC/LAT)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:MARIE
Last Name:SVIHLIK
Suffix:
Gender:F
Credentials:MS, ATC/LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 VICTORY PKWY
Mailing Address - Street 2:ML 7530
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-1035
Mailing Address - Country:US
Mailing Address - Phone:513-745-4274
Mailing Address - Fax:513-745-1963
Practice Address - Street 1:3800 VICTORY PKWY
Practice Address - Street 2:ML 7530
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1035
Practice Address - Country:US
Practice Address - Phone:513-745-4274
Practice Address - Fax:513-745-1963
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT.0031122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer