IndividualActive
Katelynn Dutcher, ATC, LAT
NPI 1972330199 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Waukee, IA
Provider details
- NPI number
- 1972330199
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 079645 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 Se University Ave
Waukee, IA 50263-8171
Phone: (515) 987-5163
Street-level locationGet directions
Mailing address
17138 Blue Sage Ln
Urbandale, IA 50323-2791
Registry dates
- Enumerated
- 2024-09-19
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.