| Doctor Name: | KATIE WELLE |
| NPI Number: | 1043679657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | |
| Business Practice Address: | 1610 Grover St Ste B2 Lynden, WA - 982641539 |
| Business Phone Number: | 3603545245 |
| Business Fax Number: | 3603547796 |
| Mailing Address: | 38779 County Road 191, SAUK CENTRE |
| State: | MN |
| Postal Code: | 563788416 |
| Phone Number: | 3202504590 |
| Fax Number: | |
| NPI Enumeration Date: | 02/11/2016 |
| NPI Last Update Date: | 02/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |