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NPI 1811820657

NPI 1811820657 : KAITLYN SOMMERFELT OTR/L : GRUNDY CENTER, IA

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General NPI Number Information
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    NPI Number           |    1811820657
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    Entity Type          |    Individual 
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    Provider Name        |    KAITLYN SOMMERFELT OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2026
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    Last Update Date     |    06/03/2026
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Provider Practice Location Address
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    Address Line         |    201 E J AVE 
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    City                 |    GRUNDY CENTER
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    State                |    IA
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    Zip                  |    50638-2028
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    Country              |    US
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    Telephone            |    319-824-5421
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 E J AVE 
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    City                 |    GRUNDY CENTER
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    State                |    IA
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    Zip                  |    50638-2028
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    139008
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    License Number State |    IA
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