Provider Demographics
NPI:1912792763
Name:BODY, KATHERINE RENEE
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RENEE
Last Name:BODY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 T C JESTER BLVD APT 3103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-7451
Mailing Address - Country:US
Mailing Address - Phone:346-322-6330
Mailing Address - Fax:
Practice Address - Street 1:7200 T C JESTER BLVD APT 3103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-7451
Practice Address - Country:US
Practice Address - Phone:346-322-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA0008889179374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide