MEDICARE: KATAUSHIA THOMAS

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1407088214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATAUSHIA THOMAS

Provider Business Mailing Address
First Line	:	5060 LONG MEADOW DR
Second Line	:
City	:	FRANKLIN
State	:	OH
Zip	:	45005-9679
Country	:	US
Telephone Number	:	317-410-0552
Fax Number	:

Provider Business Practice Location Address
First Line	:	78 E FRANKLIN ST
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-5914
Country	:	US
Telephone Number	:	866-534-2639
Fax Number	:	800-480-7578

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

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	10/07/2025

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Directions to “ KATAUSHIA THOMAS ” Practice Location

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