Provider Demographics
NPI:1902254907
Name:VALEN, KATE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:VALEN
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 1:730 STINSON BLVD
Mailing Address - Street 2:#506
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-4595
Mailing Address - Country:US
Mailing Address - Phone:651-338-9233
Mailing Address - Fax:
Practice Address - Street 1:730 STINSON BLVD
Practice Address - Street 2:#506
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-4595
Practice Address - Country:US
Practice Address - Phone:651-338-9233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-31
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104494225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist