MEDICARE: KATHRYN B SNODGRASS 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

General Provider Information

NPI Number	:	1871722181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN B SNODGRASS OTR/L

Provider Business Mailing Address
First Line	:	1410 BUNDY BLVD
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-6300
Country	:	US
Telephone Number	:	507-452-1200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 BUNDY BLVD
Second Line	:
City	:	WINONA
State	:	MN
Zip	:	55987-6300
Country	:	US
Telephone Number	:	507-452-1200
Fax Number	:

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

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	03/12/2026

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