Provider Demographics
NPI:1699175281
Name:HAUSKA, KATHERINE E (DPT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:HAUSKA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:E
Other - Last Name:WOLTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1525 RALEIGH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1497
Mailing Address - Country:US
Mailing Address - Phone:303-458-9660
Mailing Address - Fax:303-458-9661
Practice Address - Street 1:1525 RALEIGH ST STE 210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1497
Practice Address - Country:US
Practice Address - Phone:303-458-9660
Practice Address - Fax:303-458-9661
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208991225100000X
COPTL.00156052251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic