Provider Demographics
NPI:1548630627
Name:FRAPPIER, KATELYN (MOT OTR/L)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:FRAPPIER
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3139 BLUESTEM DR STE 108
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-8060
Mailing Address - Country:US
Mailing Address - Phone:701-866-4934
Mailing Address - Fax:701-718-9141
Practice Address - Street 1:3139 BLUESTEM DR STE 108
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-8060
Practice Address - Country:US
Practice Address - Phone:701-866-4934
Practice Address - Fax:701-718-9141
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2018-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1436225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist