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

Individual provider Occupational Therapy Assistant · NPI 1043938780

Katelyn Michelle Fulwider is an Occupational Therapy Assistant in Nixa, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
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Practice location Address checks out

1575 Parker Rd
Nixa, MO 65714-9522
Phone: (417) 631-6072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2017029562 (MO)

Record details

NPI number1043938780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

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