Provider Demographics
NPI:1811434194
Name:RITTIMAN, KATHY TROUP (HIS)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:TROUP
Last Name:RITTIMAN
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15033 COUNTY ROAD 798
Mailing Address - Street 2:
Mailing Address - City:SINTON
Mailing Address - State:TX
Mailing Address - Zip Code:78387-4431
Mailing Address - Country:US
Mailing Address - Phone:361-437-9202
Mailing Address - Fax:
Practice Address - Street 1:13310 LEOPARD ST STE 22
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4486
Practice Address - Country:US
Practice Address - Phone:361-241-7511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80736237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist