Provider Demographics
NPI:1992336994
Name:TILLEY, KATHERINE A (PHD, OTR/L, CLT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:TILLEY
Suffix:
Gender:F
Credentials:PHD, OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SUNDANCE DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-8616
Mailing Address - Country:US
Mailing Address - Phone:785-565-4169
Mailing Address - Fax:
Practice Address - Street 1:634 SW MULVANE ST STE 404
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1678
Practice Address - Country:US
Practice Address - Phone:785-295-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology