Basic Information
| Provider Information | |||||||||
| NPI: | 1508100082 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RADABAUGH PARSLEY | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | ELIZABETH | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 866308 | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750866308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8007935464 | ||||||||
| FaxNumber: | 2673212094 | ||||||||
| Practice Location | |||||||||
| Address1: | 10601 N MERIDIAN ST | ||||||||
| Address2: | STE. 110 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462901152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3172578340 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2012 | ||||||||
| LastUpdateDate: | 11/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 31003870A | IN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.