Mercuris, Katherine Louise

Mercuris, Katherine Louise is an individual health care provider with primary practice located at 3200 Grand Ave , Des Moines IA 50312-4104. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mercuris, Katherine Louise can be contacted via phone (515) 271-1717.

Contact Information

Primary practice address
3200 Grand Ave Des Moines IA 50312-4104
Phone: (515) 271-1717
Fax: (515) 271-7185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 00830 Iowa

Profile Details

NPI number 1194717660
LBN Legal business name Mercuris, Katherine Louise
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Feb 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194717660 NPPES
Iowa MEDICAID 0232843
Iowa Other 650020383

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