Shawn Daniel Kill, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Delphos, OH
NPI 1104052166 · NPPES record last updated Jun 4, 2009
Key facts
- NPI
- 1104052166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 03760 (OH)
- Practice address
- 21695 Griffin Rd
Delphos, OH 45833-8867 - Phone
- (419) 234-5885
- NPI assigned
- Jun 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03760 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 03760 | OH | Yes |
Addresses
Primary practice location
21695 Griffin Rd
Delphos, OH 45833-8867
Mailing address
21695 Griffin Rd
Delphos, OH 45833-8867
Phone (419) 234-5885
Other providers in Delphos, OH
- Brenda Hoersten
- Hometown Pediatrics, LLC
- Judy K Huebner
- Patricia Hull
- Perry Monroe Hux
- Krystin King
- Gina Kathleen Knott
- Wendy Elaine Korte
- Karri Lou Krendl
- Kelsey Krendl
All providers in Delphos, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.