MEDICARE: CATHERINE HANNAN MACHIELSE MS, OTR/L

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	225X00000X	Occupational Therapist	61040262	WA

General Provider Information

NPI Number	:	1548159130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE HANNAN MACHIELSE MS, OTR/L

Provider Business Mailing Address
First Line	:	11350 40TH AVE NE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-5723
Country	:	US
Telephone Number	:	206-261-6162
Fax Number	:

Provider Business Practice Location Address
First Line	:	723 N 78TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4730
Country	:	US
Telephone Number	:	206-261-6162
Fax Number	:

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

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	06/30/2025

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