MEDICARE: MRS. KATHRYN ALBEE

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	5201009069	MI

General Provider Information

NPI Number	:	1902387939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN ALBEE

Provider Business Mailing Address
First Line	:	804 ARBOR CREEK DR APT 101
Second Line	:
City	:	HOLLAND
State	:	MI
Zip	:	49423-7372
Country	:	US
Telephone Number	:	810-305-1563
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 JEFFERY ST
Second Line	:
City	:	CEDAR SPRINGS
State	:	MI
Zip	:	49319-9572
Country	:	US
Telephone Number	:	161-669-6017
Fax Number	:

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

Provider Enumeration Date	:	08/27/2018
Last Update Date	:	08/27/2018

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