Ketterer, Lise
Ketterer, Lise is an individual health care provider with primary practice located at 2750 Kittyhawk Rd , Colorado Springs CO 80920-1441. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Nursing Service Related Providers / Nursing Home Administrator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Ketterer, Lise can be contacted via phone (949) 813-8637.Contact Information
Primary practice address
2750 Kittyhawk Rd
Colorado Springs CO 80920-1441
Phone: (949) 813-8637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | OTA.0000024 | Colorado |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 2214 | California |
| Nursing Service Related Providers / Nursing Home Administrator | 376G00000X | NHA.0002857 | Colorado |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1063756146 |
|---|---|
| LBN Legal business name | Ketterer, Lise |
| Credentials | COTA. NHA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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