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General NPI Number Information
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NPI Number | 1043105307
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Entity Type | Organization
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Legal Business Name | KATYA WINCHELL OT, LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1005 PARKVIEW CT STE 2
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City | LAWRENCEBURG
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State | KY
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Zip | 40342-1500
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Country | US
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Telephone | 270-952-1405
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Fax |
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Provider Business Mailing Address
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Address Line | 1463 NINEVAH RD
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City | LAWRENCEBURG
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State | KY
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Zip | 40342-9612
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Country | US
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Telephone | 270-952-1405
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATYA WINCHELL
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Credential |
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Telephone | 270-952-1405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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