Individual ProviderKatie Jo GreathouseOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address485 Moxie Ln, Delphos, OH 45833-9182(419) 692-3405(419) 692-3400PECOS EnrollmentBased on the most recent information from CMS, provider Katie Jo Greathouse does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063762961Provider TypeIndividualFull NameGreathouse, Katie JoCredentialOTGenderFemaleSole ProprietorYesEnumeration Date9/18/2012Last Updated9/18/2012Contact InformationPractice LocationPractice Address485 Moxie Ln, Delphos, OH 45833-9182Phone(419) 692-3405Fax(419) 692-3400Mailing LocationMailing Address485 Moxie Ln, Delphos, OH 45833-9182Phone(419) 692-3400Fax(419) 692-3400Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT.007095Ohio