Provider Demographics
NPI:1770754947
Name:ST. PIERRE, KATIE KYRITZ (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:KYRITZ
Last Name:ST. PIERRE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:KYRITZ
Other - Last Name:SPAULDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:243 DELANO RD
Mailing Address - Street 2:
Mailing Address - City:TICONDEROGA
Mailing Address - State:NY
Mailing Address - Zip Code:12883-2918
Mailing Address - Country:US
Mailing Address - Phone:518-222-0394
Mailing Address - Fax:
Practice Address - Street 1:127 CAMBRIDGE ST STE 2B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803
Practice Address - Country:US
Practice Address - Phone:781-272-2536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-17
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI825225X00000X
MA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist