Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kathleen Elizabeth Moddeman

Individual provider Physical Therapist · NPI 1629286422

Mrs. Kathleen Elizabeth Moddeman is a Physical Therapist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2007

Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-3078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8380 (OH)

Record details

NPI number1629286422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESJuly 8, 2007

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