MEDICARE: MRS. KATHERINE FERNANDA TODD MOT, OTRL, CHT

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	5201009596	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5201009596	OTHER	MI	STATE OF MICHIGAN

General Provider Information

NPI Number	:	1558634469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE FERNANDA TODD MOT, OTRL, CHT

Provider Business Mailing Address
First Line	:	1099 W WINEGAR RD
Second Line	:
City	:	MORRICE
State	:	MI
Zip	:	48857-9690
Country	:	US
Telephone Number	:	810-938-3825
Fax Number	:

Provider Business Practice Location Address
First Line	:	1568 LAKE LANSING RD
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48912-3707
Country	:	US
Telephone Number	:	517-798-3677
Fax Number	:	517-539-6764

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

Provider Enumeration Date	:	02/23/2012
Last Update Date	:	03/25/2026

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