Provider Demographics
NPI:1871337659
Name:OWENS, KATY MARIE (OTR/L)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:MARIE
Last Name:OWENS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:MARIE
Other - Last Name:MERILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2617 EMERALD ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-2116
Mailing Address - Country:US
Mailing Address - Phone:714-642-2471
Mailing Address - Fax:
Practice Address - Street 1:2617 EMERALD ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-2116
Practice Address - Country:US
Practice Address - Phone:714-642-2471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007808225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist