Provider Demographics
NPI:1770775397
Name:SCHOEPP, KATEE LYN (OTR)
Entity type:Individual
Prefix:MRS
First Name:KATEE
Middle Name:LYN
Last Name:SCHOEPP
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:KATEE
Other - Middle Name:LYN
Other - Last Name:BRACKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8617 KINGS LN
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-9219
Mailing Address - Country:US
Mailing Address - Phone:701-222-0931
Mailing Address - Fax:
Practice Address - Street 1:300 N 7TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4439
Practice Address - Country:US
Practice Address - Phone:701-323-6153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND917225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist