Provider Demographics
NPI:1457137002
Name:MICHIE, KATHARINE (MS OTR/L)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:MICHIE
Suffix:
Gender:
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3808
Mailing Address - Country:US
Mailing Address - Phone:615-802-8051
Mailing Address - Fax:833-901-2965
Practice Address - Street 1:144 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-3808
Practice Address - Country:US
Practice Address - Phone:615-802-8051
Practice Address - Fax:615-802-8051
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7539225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist