Provider Demographics
NPI:1912961434
Name:POPPE, KATHRYN ANN (MA, ATC)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ANN
Last Name:POPPE
Suffix:
Gender:F
Credentials:MA, ATC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ANN
Other - Last Name:HANNAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, ATC
Mailing Address - Street 1:6900 STRATHMORE ST APT A23
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6203
Mailing Address - Country:US
Mailing Address - Phone:774-364-0797
Mailing Address - Fax:
Practice Address - Street 1:6900 STRATHMORE ST APT A23
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6203
Practice Address - Country:US
Practice Address - Phone:774-364-0797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer