Provider Demographics
NPI:1447502356
Name:WHETSTONE, KATELYN S (DPT)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:S
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 E INDIANA ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-2794
Mailing Address - Country:US
Mailing Address - Phone:812-476-0409
Mailing Address - Fax:812-476-1016
Practice Address - Street 1:425B W JENNINGS ST STE B
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-1113
Practice Address - Country:US
Practice Address - Phone:812-518-3246
Practice Address - Fax:812-518-3268
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010934A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201121590Medicaid
IN000000793296OtherBLUE CROSS BLUE SHIELD
IN000000798336OtherBLUE CROSS BLUE SHIELD
IN000000798336OtherBLUE CROSS BLUE SHIELD
IN000000793296OtherBLUE CROSS BLUE SHIELD
IN255480006Medicare PIN