Provider Demographics
NPI:1316372998
Name:HILBERT, KATHLEEN (MSOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:
Last Name:HILBERT
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:MRS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:HILBERT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSOT, OTR/L
Mailing Address - Street 1:3125 WIDGEON AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-1111
Mailing Address - Country:US
Mailing Address - Phone:502-396-8690
Mailing Address - Fax:
Practice Address - Street 1:1827 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1433
Practice Address - Country:US
Practice Address - Phone:502-396-8690
Practice Address - Fax:502-451-6711
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR3687225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist