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1871943860 NPI number — KATRINA MARIE SIEFKEN

NPI Number: 1871943860
Health Care Provider/Practitioner: KATRINA MARIE SIEFKEN

Information about “1871943860” NPI (KATRINA MARIE SIEFKEN) exists in 1871943860 in HTML format HTML  |  1871943860 in plain Text format TXT  |  1871943860 in PDF (Portable Document Format) PDF  |  1871943860 in an XML format XML  formats.

NPI Number : 1871943860 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871943860",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SIEFKEN",
    "FirstName": "KATRINA",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MICA",
    "OtherFirstName": "KATRINA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "12413 JUDSON RD",
    "SecondLineMailingAddress": "STE 260",
    "MailingAddressCityName": "LIVE OAK",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78233-3202",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-656-7953",
    "MailingAddressFaxNumber": "210-656-7957",
    "FirstLinePracticeLocationAddress": "232 BRITE RD STE 113",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CIBOLO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78108-3998",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-566-1269",
    "PracticeLocationAddressFaxNumber": "210-566-1265",
    "EnumerationDate": "06/21/2016",
    "LastUpdateDate": "11/12/2025",
    "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": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "1275225",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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