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NPI Code Detail

MEDICARE: DANIEL KATCHES

MEDICARE: DANIEL KATCHES
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
1225100000XPhysical Therapist300549CA

General Provider Information

NPI Number : 1003581711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL KATCHES
Provider Business Mailing Address
First Line : 3175 DATA DR APT 1321
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-6444
Country : US
Telephone Number : 805-835-9355
Fax Number :
Provider Business Practice Location Address
First Line : 10471 GRANT LINE RD STE 130
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-5042
Country : US
Telephone Number : 916-750-4555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2021
Last Update Date : 08/13/2021

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Directions to “ DANIEL KATCHES ” Practice Location

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