MEDICARE: NATALIE KITCHEL

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	225X00000X	Occupational Therapist	0720122978	VT

General Provider Information

NPI Number	:	1699227843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE KITCHEL

Provider Business Mailing Address
First Line	:	905 ROOSEVELT HWY
Second Line	:	SUITE 115
City	:	COLCHESTER
State	:	VT
Zip	:	05446-4475
Country	:	US
Telephone Number	:	802-861-3600
Fax Number	:	802-861-2353

Provider Business Practice Location Address
First Line	:	2688 ROY MTN RD STE 115
Second Line	:
City	:	EAST RYEGATE
State	:	VT
Zip	:	05042-5803
Country	:	US
Telephone Number	:	802-249-6544
Fax Number	:	802-861-2353

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

Provider Enumeration Date	:	11/03/2016
Last Update Date	:	09/13/2022

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