Individual provider · Type 1 NPI

Katelyn Marie Hackett, EMT

Rehabilitation Practitioner · Petaluma, CA

NPI number 1497638415 Active

Practice location

1500 Petaluma Blvd S
Petaluma, CA 94952-5545

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XE3468370 (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1497638415

Katelyn Marie Hackett, EMT's National Provider Identifier is 1497638415, issued on Jul 28, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Petaluma, CA. The record was last updated on Jul 28, 2025.