Kathryn Bauer, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · San Tan Valley, AZ
NPI 1619650033 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1619650033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTH-009295 (AZ)
- Practice address
- 677 E Kelsi Ave
San Tan Valley, AZ 85140-4140 - Phone
- (406) 600-4747
- NPI assigned
- Aug 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| OTH-009295 | AZ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTH-009295 | AZ | Yes |
Addresses
Primary practice location
677 E Kelsi Ave
San Tan Valley, AZ 85140-4140
Mailing address
677 E Kelsi Ave
San Tan Valley, AZ 85140-4140
Other providers in San Tan Valley, AZ
- Jason Raymond Baron
- Mayra Alejandra Barreras de Hacegaba
- Jana Deborah Barrett
- Kori Lynn Bartlett
- Tiffany Battle
- Corrina Dee Beaven
- Because We Care About You, LLC
- Mikeeta Beebe
- Ann Bellafaire
- Jennifer M Bernal
All providers in San Tan Valley, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. 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.