Provider Demographics
NPI:1861652273
Name:RATCLIFF, KAREN RENE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RENE
Last Name:RATCLIFF
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 S OLD HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5310
Mailing Address - Country:US
Mailing Address - Phone:210-722-7998
Mailing Address - Fax:512-857-0166
Practice Address - Street 1:407 S OLD HIGHWAY 81
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5310
Practice Address - Country:US
Practice Address - Phone:210-722-7998
Practice Address - Fax:512-857-0166
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110097225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist