Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATELYN NOEL WAGGONER, MS OTR/L
Active Sole ProprietorKATELYN NOEL WAGGONER, MS OTR/L is a Occupational Therapist healthcare provider located in CLAREMONT, Illinois. NPI 1205305414 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CLAREMONT, IL
Registration Details
- NPI Number
- 1205305414
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2018 (7.7160401896818 yrs)
- Last Updated
- Dec 27, 2024
- License
-
056012099 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7450 E DUNDAS LNCLAREMONT, IL, 624212129Browse IL providers · Browse ZIP 62421
- Phone
- 8129298906
- Primary Specialty
-
Occupational Therapist
225X00000X
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.