Provider Demographics
NPI:1770976243
Name:HAUSER, VALERIE (DPT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:HAUSER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:E
Other - Last Name:KLOBERDANZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2545 LAWRENCEVILLE HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3239
Mailing Address - Country:US
Mailing Address - Phone:404-377-0011
Mailing Address - Fax:770-939-9353
Practice Address - Street 1:2545 LAWRENCEVILLE HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3239
Practice Address - Country:US
Practice Address - Phone:404-377-0011
Practice Address - Fax:770-939-9353
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11456225100000X
2251S0007X, 2251X0800X
GAPT012293225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic