Provider Demographics
NPI:1578029203
Name:KAEHR, KATRINA MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:KAEHR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 E HOOVER AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1318
Mailing Address - Country:US
Mailing Address - Phone:480-254-9019
Mailing Address - Fax:
Practice Address - Street 1:1661 E CAMELBACK RD STE 152
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-3921
Practice Address - Country:US
Practice Address - Phone:602-955-8885
Practice Address - Fax:602-955-8895
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13143612251X0800X
AZ304622251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic