Provider Demographics
NPI:1487054995
Name:HARSHBARGER, KATIE SUE (OTR/L)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:SUE
Last Name:HARSHBARGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 SW HOLDEN ST APT C106
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1766
Mailing Address - Country:US
Mailing Address - Phone:303-717-8040
Mailing Address - Fax:
Practice Address - Street 1:915 4TH ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4452
Practice Address - Country:US
Practice Address - Phone:253-931-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2025-02-25
Deactivation Date:2017-10-15
Deactivation Code:
Reactivation Date:2025-02-25
Provider Licenses
StateLicense IDTaxonomies
WAOT60253615225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist