Provider Demographics
NPI:1245412790
Name:WESTHUSIN, KAREN KAY (COTA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:WESTHUSIN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2385 X RD
Mailing Address - Street 2:
Mailing Address - City:NATOMA
Mailing Address - State:KS
Mailing Address - Zip Code:67651-8820
Mailing Address - Country:US
Mailing Address - Phone:785-434-4576
Mailing Address - Fax:
Practice Address - Street 1:2385 X RD
Practice Address - Street 2:
Practice Address - City:NATOMA
Practice Address - State:KS
Practice Address - Zip Code:67651-8820
Practice Address - Country:US
Practice Address - Phone:785-434-4576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1800374224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1800374OtherCOTA