Provider Demographics
NPI:1851801385
Name:METHENY, KATHERINE PRIVETT X (OT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:PRIVETT
Last Name:METHENY
Suffix:X
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 COUNTRY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-4133
Mailing Address - Country:US
Mailing Address - Phone:941-923-0313
Mailing Address - Fax:
Practice Address - Street 1:2831 RINGLING BLVD STE E120
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5353
Practice Address - Country:US
Practice Address - Phone:941-955-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist