Healthcare Provider Details

I. General information

NPI: 1255070702
Provider Name (Legal Business Name): KATELIN NELSON OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 YOUNGFIELD ST STE 371
GOLDEN CO
80401-2265
US

IV. Provider business mailing address

2801 YOUNGFIELD ST STE 371
GOLDEN CO
80401-2265
US

V. Phone/Fax

Practice location:
  • Phone: 303-954-8878
  • Fax: 303-362-0946
Mailing address:
  • Phone: 303-954-8878
  • Fax: 303-362-0946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number0119009418
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT.0008340
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: