MEDICARE: KATHERINE NICOLE HUSER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	05010861A	IN

General Provider Information

NPI Number	:	1134528540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE NICOLE HUSER DPT

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1555 S HARDING ST BLDG K144
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46221-1873
Country	:	US
Telephone Number	:	317-277-6004
Fax Number	:	317-227-8935

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2014
Last Update Date	:	03/11/2026

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