Provider Demographics
NPI:1659674042
Name:MAAS-KAUTZKY, INC.
Entity Type:Organization
Organization Name:MAAS-KAUTZKY, INC.
Other - Org Name:WOODARD HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUTZKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-276-6122
Mailing Address - Street 1:6925 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4805
Mailing Address - Country:US
Mailing Address - Phone:515-276-6122
Mailing Address - Fax:515-237-3917
Practice Address - Street 1:6925 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-4805
Practice Address - Country:US
Practice Address - Phone:515-276-6122
Practice Address - Fax:515-237-3917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA902237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty