Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Marie Frederick

Individual provider Developmental Therapist · NPI 1164900585

Katelyn Marie Frederick is a Developmental Therapist in Tampa, Florida. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

9051 Florida Mining Blvd Ste 102
Tampa, FL 33634-1240
Phone: (813) 374-2070
Fax: (813) 337-0937
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1164900585
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESJuly 30, 2018
Mailing address9051 Florida Mining Blvd Ste 102, Tampa, FL 33634-1240

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