Provider Demographics
NPI:1649079765
Name:HARPER, KATIE M W
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:M W
Last Name:HARPER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2148 EAGLE PASS
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-5356
Mailing Address - Country:US
Mailing Address - Phone:330-345-8970
Mailing Address - Fax:
Practice Address - Street 1:2148 EAGLE PASS
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-5356
Practice Address - Country:US
Practice Address - Phone:330-345-8970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator