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General NPI Number Information
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NPI Number | 1962408567
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Entity Type | Individual
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Provider Name | KATHERINE LYNN HOLDER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2546 E 2ND ST BLDG 500
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City | CASPER
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State | WY
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Zip | 82609-2047
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Country | US
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Telephone | 307-577-5204
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Fax | 307-577-5212
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Provider Business Mailing Address
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Address Line | 2546 E 2ND ST BLDG 500
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City | CASPER
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State | WY
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Zip | 82609-2047
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Country | US
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Telephone | 307-577-5204
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Fax | 307-577-5212
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | COTA-534
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | COTA-589
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-891
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA-490
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR-452
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License Number State | WY
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-031
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-395
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License Number State | WY
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-169
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License Number State | WY
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