Katie Mittelstaedt, COTA

NPI 1275831836 · on the registry since 2011

Practice

Address: 15500 19 Mile Rd Ste 330
Clinton Twp, MI 48038
Phone: (586) 412-0016
Organisation at this address: Eastes And Khanukov Md Pc
Baddigam Family Psychiatric Assoc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Additional practice sites

14145 Simone Dr, Shelby Township, MI

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan