Provider Demographics
NPI:1194137786
Name:KATZENMAIER, JULIA ANN (RT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:KATZENMAIER
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23415 27TH AVE S
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-8743
Mailing Address - Country:US
Mailing Address - Phone:206-240-4213
Mailing Address - Fax:
Practice Address - Street 1:23415 27TH AVE S
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-8743
Practice Address - Country:US
Practice Address - Phone:206-240-4213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-30
Last Update Date:2014-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WART 60108008247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist