MR. TODD DOUGLAS DEETSCH NPI 1053605394

NPI Information

MR. Todd Douglas Deetsch is a contractor in Louisville, KY. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). MR. Todd Douglas Deetsch NPI is 1053605394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

208 LINNEY AVE
LOUISVILLE, KY
ZIP 40243-014
Phone: (502) 693-1037
Fax: (502) 245-2490

The enumeration date for this NPI number is 6/3/2011 and was last updated on 6/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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