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NPI Code Detail

MEDICARE: KATHERINE GRIESE

MEDICARE: KATHERINE GRIESE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1649153370
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE GRIESE
Provider Business Mailing Address
First Line : 134 RIVERWOOD DR
Second Line :
City : FRANKLIN
State : TN
Zip : 37069-4173
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1897 GENERAL GEORGE PATTON DR
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-7250
Country : US
Telephone Number : 615-591-3244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2025
Last Update Date : 07/29/2025

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