Healthcare Provider Details

I. General information

NPI: 1306148655
Provider Name (Legal Business Name): KATELYN E OGDEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2010
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69221 BLUEBIRD DR
SAINT CLAIRSVILLE OH
43950-7705
US

IV. Provider business mailing address

69221 BLUEBIRD DR
SAINT CLAIRSVILLE OH
43950-7705
US

V. Phone/Fax

Practice location:
  • Phone: 304-281-8775
  • Fax:
Mailing address:
  • Phone: 304-281-8775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT002897
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: