Doctor Name: | KATHRINE M DETEMPLE |
NPI Number: | 1174738843 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 1064444201 |
Business Practice Address: | 590 Wakara Way Slc, UT - 841081200 |
Business Phone Number: | 8015877001 |
Business Fax Number: | |
Mailing Address: | 1601 Westsilver Springs Rd, PARK CITY |
State: | UT |
Postal Code: | 840985902 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 1064444201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |