Provider Demographics
NPI:1851595649
Name:MUELLER, KATHERINE (OT)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:MUELLER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:KEENAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8084 STATE ROUTE 339 N
Mailing Address - Street 2:
Mailing Address - City:MELBER
Mailing Address - State:KY
Mailing Address - Zip Code:42069-8847
Mailing Address - Country:US
Mailing Address - Phone:270-674-6009
Mailing Address - Fax:
Practice Address - Street 1:544 LONE OAK RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-4538
Practice Address - Country:US
Practice Address - Phone:270-443-6543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1601225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist