Provider Demographics
NPI:1568278521
Name:JOHLFS, CATHERINE M (OTR)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:JOHLFS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:MCDERMOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:PO BOX 1547
Mailing Address - Street 2:
Mailing Address - City:PALMER LAKE
Mailing Address - State:CO
Mailing Address - Zip Code:80133-1547
Mailing Address - Country:US
Mailing Address - Phone:719-649-0101
Mailing Address - Fax:
Practice Address - Street 1:6155 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5405
Practice Address - Country:US
Practice Address - Phone:719-649-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001508225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics