Provider Demographics
NPI:1285921783
Name:EICHELMAN, KATHERINE ANN (DPT)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANN
Last Name:EICHELMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:MCCASLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9835 E US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7954
Mailing Address - Country:US
Mailing Address - Phone:317-209-8341
Mailing Address - Fax:317-209-8361
Practice Address - Street 1:9835 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7954
Practice Address - Country:US
Practice Address - Phone:317-209-8341
Practice Address - Fax:317-209-8361
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010561A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist