Provider Demographics
NPI:1891903647
Name:GUTHRIE, KATHARINE NIXON (MSOT)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:NIXON
Last Name:GUTHRIE
Suffix:
Gender:F
Credentials:MSOT
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 572
Mailing Address - Street 2:
Mailing Address - City:GREEN MOUNTAIN FALLS
Mailing Address - State:CO
Mailing Address - Zip Code:80819-0572
Mailing Address - Country:US
Mailing Address - Phone:719-338-3961
Mailing Address - Fax:
Practice Address - Street 1:PUEBLO COUNTY SCHOOL DIST 70
Practice Address - Street 2:24951 E HWY 50
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81006-2027
Practice Address - Country:US
Practice Address - Phone:719-542-1671
Practice Address - Fax:719-544-7248
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1154225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist