Provider Demographics
NPI:1134937907
Name:TOENNIES, KATE J (OTR/L)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:J
Last Name:TOENNIES
Suffix:
Gender:F
Credentials:OTR/L
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 153
Mailing Address - Street 2:
Mailing Address - City:ALBERS
Mailing Address - State:IL
Mailing Address - Zip Code:62215-0153
Mailing Address - Country:US
Mailing Address - Phone:618-795-3594
Mailing Address - Fax:
Practice Address - Street 1:4996 STATE ROUTE 159
Practice Address - Street 2:SUITE B
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062
Practice Address - Country:US
Practice Address - Phone:618-288-4677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016367225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist