Provider Demographics
NPI:1538617360
Name:TIEFENTHALER, KATHERINE RECHNER (AUD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RECHNER
Last Name:TIEFENTHALER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9430 ELDERBERRY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-4364
Mailing Address - Country:US
Mailing Address - Phone:608-682-7804
Mailing Address - Fax:
Practice Address - Street 1:9430 ELDERBERRY RD
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-4364
Practice Address - Country:US
Practice Address - Phone:608-682-7804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI631-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist