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

MRS. KATHRYN BRODERIUS, MOT

Active

MRS. KATHRYN BRODERIUS, MOT is a Occupational Therapist healthcare provider located in MIDDLETON, Idaho. NPI 1154074508 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MIDDLETON, ID

Registration Details

NPI Number
1154074508
Provider Type
Individual
Gender
Female
NPI Issued
Jan 26, 2022 (4.505635737602 yrs)
Last Updated
Jan 26, 2022
Licenses
OT-2455 (ID)
OT-2455 (ID)

Practice Information

Address
316 E 1ST ST
MIDDLETON, ID, 836446159
Browse ID providers · Browse ZIP 83644
Phone
2086546161
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in MIDDLETON, ID

Name Credential NPI
MS. ALLISON POWELL OTR/L 1679212013
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.