Provider Demographics
NPI:1245270081
Name:KATAI, KATHLEEN M (OT)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:M
Last Name:KATAI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
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Mailing Address - Street 1:720 OLIVE WAY
Mailing Address - Street 2:SUITE 1505
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1878
Mailing Address - Country:US
Mailing Address - Phone:206-838-2590
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:8009 S 180TH ST
Practice Address - Street 2:SUITE 112
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-1042
Practice Address - Country:US
Practice Address - Phone:425-226-7827
Practice Address - Fax:425-251-5757
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOT00001290225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB12058Medicare ID - Type Unspecified
WAS85476Medicare UPIN