Provider Demographics
NPI:1972943611
Name:CRABTREE, KATELYN (MOT, OTR)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:BRANCHFLOWER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOT, OTR
Mailing Address - Street 1:68-1868 PUU NUI ST
Mailing Address - Street 2:
Mailing Address - City:WAIKOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96738-5232
Mailing Address - Country:US
Mailing Address - Phone:808-854-5746
Mailing Address - Fax:
Practice Address - Street 1:68-1868 PUU NUI ST
Practice Address - Street 2:
Practice Address - City:WAIKOLOA
Practice Address - State:HI
Practice Address - Zip Code:96738-5232
Practice Address - Country:US
Practice Address - Phone:808-854-5746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
HIOT-1292225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist