Katherine A Krueger, OTR L
Individual provider Active NPI Occupational Therapist · Unionville, MO
NPI 1164551396 · NPPES record last updated Feb 19, 2009
Key facts
- NPI
- 1164551396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 000407 (MO)
- Practice address
- 803 S 20TH St
Putnam County R-1 School District
Unionville, MO 63565-1482 - Phone
- (660) 947-3361
- Fax
- (660) 947-2912
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000407 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam County R-I Schools | Occupational Therapist | Past | Accepting new patients |
| Kirksville Missouri Hospital Company, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 000407 | MO | Yes |
Addresses
Primary practice location
803 S 20TH St
Putnam County R-1 School District
Unionville, MO 63565-1482
Mailing address
803 S 20TH St
Unionville, MO 63565-1482
Phone (660) 947-3361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473742328 | Medicaid | MO |
Other providers in Unionville, MO
- William A Heffron III
- Hometown Medical & Equipment, LLC
- Kali Kelso
- Kirksville Clinic Corp
- Kimberly S Knight
- L.a. Medical LLC
- Midwest Physical Therapy, PC
- Patient Care and Footware LLC
- Jill Payne
- Joel W. Pratt
All providers in Unionville, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.