MEDICARE: MS. KATHERINE KERRIE HIPPLER O.T.

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
1	225XH1200X	Hand Occupational Therapist	00719	IA
2	225X00000X	Occupational Therapist	00719	IA

General Provider Information

NPI Number	:	1396732723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE KERRIE HIPPLER O.T.

Provider Business Mailing Address
First Line	:	1801 HICKMAN RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-1597
Country	:	US
Telephone Number	:	515-282-5621
Fax Number	:	515-282-3618

Provider Business Practice Location Address
First Line	:	1801 HICKMAN RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-1597
Country	:	US
Telephone Number	:	515-282-5621
Fax Number	:	515-282-3618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	04/24/2024

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