Provider Demographics
NPI:1881832681
Name:KATZENMEIER, ANTHONY (MS, ATC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:KATZENMEIER
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 JANNAS TRAIL
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6251
Mailing Address - Country:US
Mailing Address - Phone:405-227-0655
Mailing Address - Fax:
Practice Address - Street 1:9600 N OKLAHOMA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-2023
Practice Address - Country:US
Practice Address - Phone:405-227-0655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer