Mrs. Kathryn Broderius, MOT
Mrs. Kathryn Broderius, MOT is a Pediatric Occupational Therapist in Middleton, Idaho. Licensed in Idaho. Registered with an NPI since 2022.
- Licensed in
- ID
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
316 E 1st StMiddleton, ID 83644-6159
Phone: (208) 654-6161
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT-2455 (ID) |
|---|---|
| Pediatric Occupational Therapist | Taxonomy 225XP0200X · Licence OT-2455 (ID) |
Record details
| NPI number | 1154074508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | January 26, 2022 |
| Last updated in NPPES | January 26, 2022 |
| Certification date | January 26, 2022 |