Provider Demographics
NPI:1730731407
Name:TOUCHETTE, KATY
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:
Last Name:TOUCHETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1907
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83303-1907
Mailing Address - Country:US
Mailing Address - Phone:208-735-7268
Mailing Address - Fax:208-736-2296
Practice Address - Street 1:203 MAIN AVE E
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6230
Practice Address - Country:US
Practice Address - Phone:208-735-7268
Practice Address - Fax:208-736-2296
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator