Basic Information
Provider Information
NPI: 1437784816
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARTNETT
FirstName: KATE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: OTD, MSOT, MAT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 143 MEADOW LAKE RD
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288039002
CountryCode: US
TelephoneNumber: 8287777390
FaxNumber:  
Practice Location
Address1: 6 ROBERTS RD STE 105
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288038699
CountryCode: US
TelephoneNumber: 8282771315
FaxNumber: 8282771321
Other Information
ProviderEnumerationDate: 03/06/2020
LastUpdateDate: 08/18/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0200X9923NCN193400000X SINGLE SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
225X00000X9923NCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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