Provider Demographics
NPI:1598870941
Name:YOUTSLER, KATHRYN FAYE (DC,DABCO)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:FAYE
Last Name:YOUTSLER
Suffix:
Gender:F
Credentials:DC,DABCO
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:FAYE
Other - Last Name:BEDNARCZUK-YOUTSLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC,DABCO
Mailing Address - Street 1:221 S MAIN ST
Mailing Address - Street 2:P.O. BOX 280
Mailing Address - City:MONROE
Mailing Address - State:OH
Mailing Address - Zip Code:45050-1330
Mailing Address - Country:US
Mailing Address - Phone:513-539-9244
Mailing Address - Fax:513-539-9246
Practice Address - Street 1:221 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:OH
Practice Address - Zip Code:45050-1330
Practice Address - Country:US
Practice Address - Phone:513-539-9244
Practice Address - Fax:513-539-9246
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH897111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHMO9262411Medicare ID - Type UnspecifiedGROUP NUMBER
OHT47375Medicare UPIN