Kelly Jo Ketterhagen in Menomonee Falls - Human Factors
Kelly Jo Ketterhagen - NPI 1043428287
Kelly Jo Ketterhagen is a Human Factors in Menomonee Falls, Wisconsin. Kelly Jo Ketterhagen practices all healthcare services and medical treatments related to Human Factors. The NPI Number for Kelly Jo Ketterhagen is 1043428287. The last update date is 2007-07-08.
Kelly Jo Ketterhagen's current location address is N84w17049 Menomonee Ave, Menomonee Falls, Wisconsin. You can contact this provider via phone number 2622557050. The mailing address for Kelly Jo Ketterhagen is N84w17049 Menomonee Ave, Menomonee Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Jo Ketterhagen |
|---|---|
| Address | N84w17049 Menomonee Ave, Menomonee Falls, Wisconsin |
| Phone Number | 2622557050 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSOTR |
NPI Number Detail
| NPI Number | 1043428287 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | N84w17049 Menomonee Ave |
|---|---|
| City | Menomonee Falls |
| State | Wisconsin (WI) |
| Post Code | 530512701 |
| Phone Number | 2622557050 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Human Factors |
|---|---|
| Taxonomy | 225Xh1300X |
| Licence No | 4355-026 |
|
Definition: An occupational therapist who focuses on optimizing the interaction of people with products, environments and systems by applying human behavior, abilities and limitations knowledge. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40894900 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Jo Ketterhagen by the Centers for Medicare & Medicaid Services?
The Kelly Jo Ketterhagen has been assigned the NPI (National Provider Identifier) 1043428287. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelly Jo Ketterhagen located?
The Kelly Jo Ketterhagen is located at N84W17049 Menomonee Ave, Menomonee Falls, WI 530512701.
What is the Kelly Jo Ketterhagen's specialty and taxonomy code?
The Kelly Jo Ketterhagen's specialty is Human Factors, and the corresponding taxonomy code is 225Xh1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043428287 to Kelly Jo Ketterhagen?
The Centers for Medicare & Medicaid Services assigned the 1043428287 to Kelly Jo Ketterhagen on 2007-05-20.
When was the Kelly Jo Ketterhagen's information last updated?
The Kelly Jo Ketterhagen's information was last updated on 2007-07-08.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA