Individual provider · NPI-1

Kathryn Andersen, MOT, OTR/L

Occupational Therapist · Saint Louis, MO

NPI number1366835233
StatusActive
Last updated in NPPESJan 30, 2026

Details

NPI
1366835233
Entity type
Individual (NPI-1)
Name
Kathryn Andersen
Credential
MOT, OTR/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 16, 2015
Certification date
Jan 30, 2026
Last updated
Jan 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist2013045397MOYes

Practice location

801 N 11th St
Saint Louis, MO 63101-1015

Phone 314-231-3720

Mailing address

11711 Rossmoor Ln
Saint Louis, MO 63128-1435

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