Provider Demographics
NPI:1801935374
Name:HAHN, CATHERINE LYNN (MPT, ATP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LYNN
Last Name:HAHN
Suffix:
Gender:F
Credentials:MPT, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 BARRY AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-3562
Mailing Address - Country:US
Mailing Address - Phone:563-263-5320
Mailing Address - Fax:
Practice Address - Street 1:1422 HOUSER ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2235
Practice Address - Country:US
Practice Address - Phone:563-263-8476
Practice Address - Fax:563-263-1562
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02212225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics