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

KATELYN MICHELLE FULWIDER

Active

KATELYN MICHELLE FULWIDER is a Occupational Therapy Assistant healthcare provider located in NIXA, Missouri. NPI 1043938780 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · NIXA, MO

Registration Details

NPI Number
1043938780
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2022 (3.9581204815554 yrs)
Last Updated
Aug 18, 2022
License
2017029562 (MO)

Practice Information

Address
1575 PARKER RD
NIXA, MO, 657149522
Browse MO providers · Browse ZIP 65714
Phone
4176316072
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in NIXA, MO

Name Credential NPI
SANDRA FERGUSON OTA/L 1164278529
LANA D ANSLEY COTA 1215783683
SAMANTHA NICOLE COOK COTA/L 1154177301
BRITTANY RAMSEY COTA/L 1649026808
MELINDA BETH CRAIG COTA/L 1245071703
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.