Individual
MRS. KATHY P. GRIEPENSTROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12198 N COUNTY ROAD 600 E, LAMAR, IN 47550-7267
(812) 529-8378
(812) 529-8360
Mailing address
12198 N COUNTY ROAD 600 E, LAMAR, IN 47550-7267
(812) 529-8378
(812) 529-8360
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN000034153
LICENSE # IN000034153
IN
Enumeration date
06/07/2007
Last updated
07/30/2009
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