Individual
KATIE WELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1610 GROVER ST STE B2, LYNDEN, WA 98264-1539
(360) 354-5245
(360) 354-7796
Mailing address
38779 COUNTY ROAD 191, SAUK CENTRE, MN 56378-8416
(320) 250-4590
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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