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NPI Code Detail

MEDICARE: KATIE HENRICH

MEDICARE: KATIE HENRICH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist0006469CO

General Provider Information

NPI Number : 1326441338
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE HENRICH
Provider Business Mailing Address
First Line : 8533 ROARING FORK DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80924-8106
Country : US
Telephone Number : 619-990-9386
Fax Number :
Provider Business Practice Location Address
First Line : 5850 MORNING LIGHT TER
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3781
Country : US
Telephone Number : 888-701-9216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2014
Last Update Date : 11/23/2020

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Directions to “ KATIE HENRICH ” Practice Location

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