Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 897 | OH |
NPI | 1598870941 |
---|---|
Provider Name | Dr. Kathryn Faye Youtsler |
First Address | Monroe, OH 45050-1330 |
Second Address | Monroe, OH 45050-1330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T47375 | (02) | OH |