Provider Demographics
NPI:1295737138
Name:DIERINGER, KATHERINE IRENE (ATC, LAT, OPA-C)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:IRENE
Last Name:DIERINGER
Suffix:
Gender:F
Credentials:ATC, LAT, OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2318 SAN JACINTO BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7535
Mailing Address - Country:US
Mailing Address - Phone:940-380-9111
Mailing Address - Fax:940-380-9112
Practice Address - Street 1:2318 SAN JACINTO BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7535
Practice Address - Country:US
Practice Address - Phone:940-380-9111
Practice Address - Fax:940-380-9112
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXATO7892255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer