Kayla M Connor, MOT, OTR/L

Individual provider Active NPI Occupational Therapist · Morris, IL

NPI 1215519194 · NPPES record last updated Mar 31, 2022

Key facts

NPI
1215519194
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056.014165 (IL)
Practice address
5835 E North Prairie Dr
Morris, IL 60450-7308
Phone
(815) 390-5366
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
056.014165ILMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014165 IL Yes

Addresses

Primary practice location

5835 E North Prairie Dr
Morris, IL 60450-7308

Mailing address

1028 Lisbon St
Morris, IL 60450-1317
Phone (815) 545-5615

Other names

  • Miss Kayla M Jacklin Former name

Other providers in Morris, IL

All providers in Morris, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.