Healthcare Provider Details

I. General information

NPI: 1801513452
Provider Name (Legal Business Name): KATIE WINDSOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 LARCHWOOD RD
MANSFIELD OH
44907-2424
US

IV. Provider business mailing address

6154 WILSON RD
BUTLER OH
44822-9642
US

V. Phone/Fax

Practice location:
  • Phone: 419-747-4122
  • Fax: 419-747-4126
Mailing address:
  • Phone: 567-241-6218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: