Provider Demographics
NPI:1538917422
Name:SCHWENDEMANN, KATIE LOUISE (COTA/L)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:LOUISE
Last Name:SCHWENDEMANN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:ORF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1968 PEINE ROAD
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385
Mailing Address - Country:US
Mailing Address - Phone:636-358-1677
Mailing Address - Fax:
Practice Address - Street 1:700 W ADAMS ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:MO
Practice Address - Zip Code:63334-2046
Practice Address - Country:US
Practice Address - Phone:573-324-5441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-07
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019024064224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant