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1487701983 NPI number — CATHY ANN KLEINHENZ P.T.

NPI Number: 1487701983
Health Care Provider/Practitioner: CATHY ANN KLEINHENZ P.T.

Information about “1487701983” NPI (CATHY ANN KLEINHENZ P.T.) exists in 1487701983 in HTML format HTML  |  1487701983 in plain Text format TXT  |  1487701983 in PDF (Portable Document Format) PDF  |  1487701983 in an XML format XML  formats.

NPI Number : 1487701983 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487701983",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KLEINHENZ",
    "FirstName": "CATHY",
    "MiddleName": "ANN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3117 STILLWATER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRESCOTT",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86305-7164",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-442-0005",
    "MailingAddressFaxNumber": "928-442-0660",
    "FirstLinePracticeLocationAddress": "3117 STILLWATER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRESCOTT",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86305-7164",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-442-0005",
    "PracticeLocationAddressFaxNumber": "928-442-0660",
    "EnumerationDate": "01/05/2007",
    "LastUpdateDate": "10/13/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2251X0800X",
        "TaxonomyName": "Orthopedic Physical Therapist",
        "LicenseNumber": "160850",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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