Healthcare Provider Details

I. General information

NPI: 1558916874
Provider Name (Legal Business Name): KATEY ANN TORREY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2019
Last Update Date: 08/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 LONNIE LOOP
OLD TOWN ME
04468-2070
US

IV. Provider business mailing address

49 LONNIE LOOP
OLD TOWN ME
04468-2070
US

V. Phone/Fax

Practice location:
  • Phone: 207-991-0272
  • Fax:
Mailing address:
  • Phone: 207-991-0272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2406
License Number StateME

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: