Provider Demographics
NPI:1487976957
Name:KUTSCHERA, TERRIE (OTR)
Entity type:Individual
Prefix:
First Name:TERRIE
Middle Name:
Last Name:KUTSCHERA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 GREGORY LN
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-9440
Mailing Address - Country:US
Mailing Address - Phone:765-642-7999
Mailing Address - Fax:
Practice Address - Street 1:2310 GREGORY LN
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-9440
Practice Address - Country:US
Practice Address - Phone:765-642-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000571A225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation