MICHELLE LYNN KETTERER


Address: 1330 Hollins St, Saint Louis, MO 63135-1244
Phone: 3145217769

MICHELLE LYNN KETTERER (NPI# 1164775417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164775417
Entity Type Individual
Full Name MICHELLE LYNN KETTERER
Other Name MICHELLE LYNN CARAVELLI
Practice Address 1330 Hollins St
Saint Louis
MO 63135-1244
Practice Telephone 3145217769
Mailing Telephone 3145217769
Enumeration Date 2012-10-24
Last Update Date 2012-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1330 HOLLINS ST
City SAINT LOUIS
State MO
Zip Code 63135-1244

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1003169657 Robyn L. Lawrence Dc, PC Chiropractor 111 Church St., Suite 111, Ferguson, MO 63135 2012-10-19
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1336457845 The Sanctuary Adult Program, LLC Nursing Care 1440 Chambers Rd, Saint Louis, MO 63135 2010-09-17
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235461617 Angela Kay Newbury Developmental Therapist 7848 Leona St, Saint Louis, MO 63123-7725 2010-02-09
1902022809 Lindsay A Wayne Developmental Therapist 5030 Mcree Ave, Saint Louis, MO 63110-2046 2007-04-18
1821525460 Megan Marie Samson Developmental Therapist 825 S Taylor Ave, Saint Louis, MO 63110-1567 2017-05-14
1649636325 Judith Odendahl Developmental Therapist 825 S Taylor Ave, Saint Louis, MO 63110-1567 2016-01-11
1043654221 Kathleen Mary Hannon Developmental Therapist 1177 N Warson Rd, Saint Louis, MO 63132-1810 2013-04-18
1326313123 Lisa Inch Developmental Therapist 825 S Taylor Ave, Saint Louis, MO 63110-1567 2012-03-13
1700164902 Colleen Marie Murphy Developmental Therapist 12300 S 40 Dr, Saint Louis, MO 63141-8820 2011-07-22
1497061188 Betsy Twist Developmental Therapist 825 S Taylor Ave, Saint Louis, MO 63110-1567 2010-08-19
1770898843 Geeta V Shandilya Developmental Therapist 825 S Taylor Ave, Saint Louis, MO 63110-1567 2010-08-13
1861723785 Jennifer Manley Developmental Therapist 825 S Taylor Ave, Saint Louis, MO 63110-1567 2010-01-15
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Competitor

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City SAINT LOUIS
Zip Code 63135

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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