DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHERINE HAILEY LAKE, OTR/L

Active Sole Proprietor

KATHERINE HAILEY LAKE, OTR/L is a Occupational Therapist healthcare provider located in ROSEVILLE, Minnesota. NPI 1023624483 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ROSEVILLE, MN

Registration Details

NPI Number
1023624483
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2020 (5.8583255333142 yrs)
Last Updated
Mar 17, 2025
License
107723 (MN)
Sole Proprietor
Yes

Practice Information

Address
1835 COUNTY ROAD C W
ROSEVILLE, MN, 551131352
Browse MN providers · Browse ZIP 55113
Phone
6516380080
Fax
6516380020
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in ROSEVILLE, MN

Name Credential NPI
ANDREA SCHLOSSER MOT, OTR/L 1447456017
BRENDA JEAN MILLER OTR/L 1912178138
MRS. KAREN MARIE VIEVERING OTR 1871764092
JOEL PATRICK MURRAY OTR/L 1346414463
SOMMER FLEMMING 1316537657
REBECCA MONCRIEF OT 1275113284
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.