MEDICARE: KATHLEEN LAUTZENHEISER DPT

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
1	2251X0800X	Orthopedic Physical Therapist
2	225100000X	Physical Therapist	2305211334	VA

General Provider Information

NPI Number	:	1942724521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN LAUTZENHEISER DPT

Provider Business Mailing Address
First Line	:	3400 HAYDENPARK LN
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-7867
Country	:	US
Telephone Number	:	804-308-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 HAYDENPARK LN
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-7867
Country	:	US
Telephone Number	:	804-308-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2017
Last Update Date	:	03/05/2026

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Directions to “ KATHLEEN LAUTZENHEISER DPT” Practice Location

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