Provider Demographics
NPI:1427646744
Name:TROTTER, KATELYN AUGUSTA (OTR/L)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:AUGUSTA
Last Name:TROTTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:AUGUSTA
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5105
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5100
Mailing Address - Country:US
Mailing Address - Phone:828-281-7171
Mailing Address - Fax:828-281-7177
Practice Address - Street 1:75A LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4353
Practice Address - Country:US
Practice Address - Phone:828-281-7171
Practice Address - Fax:828-281-7177
Is Sole Proprietor?:No
Enumeration Date:2021-01-03
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6035225X00000X
NC13741225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC6035OtherSTATE LICENSURE
NC13741OtherSTATE LICENSURE