Kathryn Anderson, OT
Individual provider Active NPI Occupational Therapist · Ridgeland, MS
NPI 1275937492 · NPPES record last updated Oct 17, 2014
Key facts
- NPI
- 1275937492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT2538 (MS)
- Practice address
- 711 Avignon Dr
Ridgeland, MS 39157-5120 - Phone
- (601) 605-6777
- Fax
- (601) 607-1415
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2538 | MS | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2538 | MS | Yes |
Addresses
Primary practice location
711 Avignon Dr
Ridgeland, MS 39157-5120
Mailing address
711 Avignon Dr
Ridgeland, MS 39157-5120
Phone (601) 605-6777
Other providers in Ridgeland, MS
- American Psych Associates, Inc.
- American Sleep Associates, Inc
- Gitanjali Anbalagan
- Anchoring Hearts Healthcare LLC
- Dorothy Jeffries Anderson
- Natylon Nicole Anderson
- Sharhonda Michelle Anderson
- Ariel Catheryne Anderton
- Rachel Thomas Anderton
- Andre Curry
All providers in Ridgeland, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2014. 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.