Provider Demographics
NPI:1871184176
Name:NASH, KATHERINE B (OTR/L)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:B
Last Name:NASH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1235 ASHLEY GARDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-9211
Mailing Address - Country:US
Mailing Address - Phone:603-918-3096
Mailing Address - Fax:
Practice Address - Street 1:1235 ASHLEY GARDEN BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-9211
Practice Address - Country:US
Practice Address - Phone:603-918-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21545225X00000X
NH3365225X00000X
SC7027225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist