Healthcare Provider Details

I. General information

NPI: 1508677345
Provider Name (Legal Business Name): KATLYN SWITZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATLYN JETT

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2571 PERSIMMON RIDGE RD
CARLISLE KY
40311-9033
US

IV. Provider business mailing address

2571 PERSIMMON RIDGE RD
CARLISLE KY
40311-9033
US

V. Phone/Fax

Practice location:
  • Phone: 606-748-3645
  • Fax:
Mailing address:
  • Phone: 606-748-3645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number296987
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: