Provider Demographics
NPI:1285860882
Name:SCATTERGOOD, KATHERINE L (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:SCATTERGOOD
Suffix:
Gender:F
Credentials:MS, 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:PO BOX 150938
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-0938
Mailing Address - Country:US
Mailing Address - Phone:160-930-4530
Mailing Address - Fax:303-333-4097
Practice Address - Street 1:215 SAINT PAUL ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5124
Practice Address - Country:US
Practice Address - Phone:160-930-4530
Practice Address - Fax:303-333-4097
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2623171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor