Provider Demographics
NPI:1033676374
Name:PELGER, KATHERINE MCKINNEY (OT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MCKINNEY
Last Name:PELGER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:MCKINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11440 PARKSIDE DR STE 303
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-2662
Mailing Address - Country:US
Mailing Address - Phone:865-218-9330
Mailing Address - Fax:
Practice Address - Street 1:11440 PARKSIDE DR STE 303
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-2662
Practice Address - Country:US
Practice Address - Phone:865-218-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6184225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist