Provider Demographics
NPI:1861592818
Name:BARTON-REHMANN, KATIE ALISON (OTR)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ALISON
Last Name:BARTON-REHMANN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:ALISON
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:624 PHEASANT RUN
Mailing Address - Street 2:
Mailing Address - City:WINSTED
Mailing Address - State:MN
Mailing Address - Zip Code:55395-1058
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:182 SUNSET AVE NW
Practice Address - Street 2:
Practice Address - City:COKATO
Practice Address - State:MN
Practice Address - Zip Code:55321-9620
Practice Address - Country:US
Practice Address - Phone:763-689-5385
Practice Address - Fax:763-689-5558
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN102243225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN004F8BAOtherBLUE CROSS BLUE SHIELD
MNHP45700OtherHEALTH PARTNERS
MN6402717OtherMEDICA
MNHP45700OtherHEALTH PARTNERS