Provider Demographics
NPI:1942566187
Name:CLEM, KARI (OTR)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:CLEM
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 E 8TH ST
Mailing Address - Street 2:APT. 406
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7029
Mailing Address - Country:US
Mailing Address - Phone:605-270-9509
Mailing Address - Fax:
Practice Address - Street 1:718 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:SD
Practice Address - Zip Code:57042-1811
Practice Address - Country:US
Practice Address - Phone:605-256-4532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0826225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist