Healthcare Provider Details

I. General information

NPI: 1114207933
Provider Name (Legal Business Name): KATHRYN ROSE HEJNA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 W 8TH ST
YANKTON SD
57078-3307
US

IV. Provider business mailing address

2210 WHITING DR
YANKTON SD
57078-6900
US

V. Phone/Fax

Practice location:
  • Phone: 605-665-0778
  • Fax:
Mailing address:
  • Phone: 605-665-0708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1161
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0632
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: