Provider Demographics
NPI:1104219146
Name:OZOWSKI, KATHRYN (DC)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:OZOWSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:SPLETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2316 CHARISMA DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-1259
Mailing Address - Country:US
Mailing Address - Phone:972-743-2651
Mailing Address - Fax:
Practice Address - Street 1:2916 TEXAS SAGE TRL
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-8209
Practice Address - Country:US
Practice Address - Phone:682-200-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor