Provider Demographics
NPI:1427911569
Name:GUELCHER, KATIE
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:GUELCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 OLD MONROE RD STE B
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-5410
Mailing Address - Country:US
Mailing Address - Phone:980-290-1420
Mailing Address - Fax:704-684-4328
Practice Address - Street 1:6555 OLD MONROE RD STE B
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5410
Practice Address - Country:US
Practice Address - Phone:980-290-1420
Practice Address - Fax:704-684-4328
Is Sole Proprietor?:No
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18013225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist