Healthcare Provider Details
I. General information
NPI: 1932011988
Provider Name (Legal Business Name): KATHERINE SIEBERT DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22224 N SUNSET DR
MARICOPA AZ
85139-9024
US
IV. Provider business mailing address
22224 N SUNSET DR
MARICOPA AZ
85139-9024
US
V. Phone/Fax
- Phone: 303-501-1776
- Fax: 602-429-8443
- Phone: 520-350-1337
- Fax: 602-429-8443
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 009580 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NP0017X |
| Taxonomy | Pediatric Chiropractor |
| License Number | 009580 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: