Healthcare Provider Details

I. General information

NPI: 1437784816
Provider Name (Legal Business Name): KATE HARTNETT OTD, MSOT, MAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2020
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ROBERTS RD STE 105
ASHEVILLE NC
28803-8699
US

IV. Provider business mailing address

143 MEADOW LAKE RD
ASHEVILLE NC
28803-9002
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-1315
  • Fax: 828-277-1321
Mailing address:
  • Phone: 828-777-7390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number9923
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number9923
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: