Provider Demographics
NPI:1952299463
Name:GUGGER, KATLYN JO (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:KATLYN
Middle Name:JO
Last Name:GUGGER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:KATLYN
Other - Middle Name:JO
Other - Last Name:GALLAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 S POPLAR WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-7526
Mailing Address - Country:US
Mailing Address - Phone:480-406-3224
Mailing Address - Fax:
Practice Address - Street 1:21 S POPLAR WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-7526
Practice Address - Country:US
Practice Address - Phone:480-406-3224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-010013225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics