MEDICARE: KATELYN NICOLE SCHRIPSEMA OTR/L, MT-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist
2	225X00000X	Occupational Therapist	OT60974175	WA

General Provider Information

NPI Number	:	1104221639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN NICOLE SCHRIPSEMA OTR/L, MT-BC

Provider Business Mailing Address
First Line	:	11416 BRUSSELS AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-5212
Country	:	US
Telephone Number	:	505-750-1635
Fax Number	:

Provider Business Practice Location Address
First Line	:	2627 EASTLAKE AVE E
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3213
Country	:	US
Telephone Number	:	206-322-5433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	05/20/2021

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