Most Relevant Information
Provider Data
  | NPI Number: | 1003363904 | 
| Provider Name: | KATRINA L DANHAUER | 
| Entity Type: | Individual | 
| Taxonomy Code: | 222Q00000X | 
| Specialty: | Developmental Therapist | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 09/08/2016 | 
| Last Updated: | 09/08/2016 | 
Provider Practice Location
  930 WALLIE CLEMENTS RD
      
      WAVERLY
      KY
      424627015
  Practice Location Phone/Fax
      | Phone: | 2709522069 | 
| Fax: | 2703890946 | 
Provider Mailing Location
  930 WALLIE CLEMENTS RD
      
      WAVERLY
      KY
      424627015
  Provider Mailing Phone/Fax
      | Phone: | 2709522069 | 
| Fax: | 2703890946 |