Provider Demographics
NPI:1053198119
Name:WELCH, KATELYN CLAIR (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:CLAIR
Last Name:WELCH
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:VAN WERT
Mailing Address - State:OH
Mailing Address - Zip Code:45891-2356
Mailing Address - Country:US
Mailing Address - Phone:419-771-9440
Mailing Address - Fax:
Practice Address - Street 1:240 TOWNE CENTER BLVD
Practice Address - Street 2:
Practice Address - City:VAN WERT
Practice Address - State:OH
Practice Address - Zip Code:45891-9000
Practice Address - Country:US
Practice Address - Phone:419-771-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist