Provider Demographics
NPI:1275239360
Name:WALTERS, CATHERINE (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:WALTERS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 JOHNSON CREEK MOUNT PLEASANT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVET
Mailing Address - State:KY
Mailing Address - Zip Code:41064-2003
Mailing Address - Country:US
Mailing Address - Phone:606-782-5135
Mailing Address - Fax:
Practice Address - Street 1:18 N FORT THOMAS AVE STE 302
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-1595
Practice Address - Country:US
Practice Address - Phone:859-441-0139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY282236225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist