Katherine Marie Sustacek in Shakopee - Occupational Therapist
Katherine Marie Sustacek - NPI 1427102714
Katherine Marie Sustacek is a Occupational Therapist in Shakopee, Minnesota. Katherine Marie Sustacek practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Katherine Marie Sustacek is 1427102714. The last update date is 2007-07-08.
Katherine Marie Sustacek's current location address is 1515 Saint Francis Ave, Shakopee, Minnesota. You can contact this provider via phone number 9524032001. The mailing address for Katherine Marie Sustacek is 1515 Saint Francis Ave, Shakopee, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Marie Sustacek |
|---|---|
| Address | 1515 Saint Francis Ave, Shakopee, Minnesota |
| Phone Number | 9524032001 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1427102714 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1515 Saint Francis Ave |
|---|---|
| City | Shakopee |
| State | Minnesota (MN) |
| Post Code | 553793387 |
| Phone Number | 9524032001 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 101821 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the Katherine Marie Sustacek's 1427102714?
The Katherine Marie Sustacek's NPI (National Provider Identifier) Number is 1427102714. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Katherine Marie Sustacek is located?
The Katherine Marie Sustacek is situated at the following address: 1515 Saint Francis Ave, Shakopee, MN, 553793387.
What is Katherine Marie Sustacek's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Katherine Marie Sustacek's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did the Katherine Marie Sustacek receive its 1427102714 assignment from the Centers for Medicare & Medicaid Services?
The Katherine Marie Sustacek was assigned its 1427102714 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the details related to Katherine Marie Sustacek most recently updated or revised?
The information pertaining to Katherine Marie Sustacek, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.