Provider Demographics
NPI:1669840005
Name:BEITLER, KATELAND (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KATELAND
Middle Name:
Last Name:BEITLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KATELAND
Other - Middle Name:TREYSUR
Other - Last Name:HOJNACKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1039 W BELDEN AVE
Mailing Address - Street 2:3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3867
Mailing Address - Country:US
Mailing Address - Phone:219-309-5823
Mailing Address - Fax:
Practice Address - Street 1:431 W BELDEN AVE
Practice Address - Street 2:C203
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3867
Practice Address - Country:US
Practice Address - Phone:219-309-5823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0700209902251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics