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Contact Information

LISE KETTERER, COTA. NHA
2750 KITTYHAWK RD
COLORADO SPRINGS, CO80920-1441
 Phone: 949-813-8637
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Nursing Home Administrator

376G00000X
 

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LISE KETTERER · (Female)

NPI Number 1063756146
Status Active
Credentials COTA. NHA
Entity Individual
Enumeration date 11/15/2012
Last updated 11/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 2214
  • CO License # NHA.0002857
  • CO License # OTA.0000024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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