Provider Demographics
NPI:1750626545
Name:VOORHIES, KATARZYNA BERNAT (LMT, RBP, NCTMB)
Entity type:Individual
Prefix:MRS
First Name:KATARZYNA
Middle Name:BERNAT
Last Name:VOORHIES
Suffix:
Gender:F
Credentials:LMT, RBP, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SHRINE CLUB RD
Mailing Address - Street 2:
Mailing Address - City:LANDER
Mailing Address - State:WY
Mailing Address - Zip Code:82520-9404
Mailing Address - Country:US
Mailing Address - Phone:847-421-6165
Mailing Address - Fax:
Practice Address - Street 1:15 SHRINE CLUB RD
Practice Address - Street 2:
Practice Address - City:LANDER
Practice Address - State:WY
Practice Address - Zip Code:82520-9404
Practice Address - Country:US
Practice Address - Phone:307-222-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227006289225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist