Kayla Kristine Meyer

Individual provider Active NPI Occupational Therapy Assistant · Auburn, IL

NPI 1346701463 · NPPES record last updated Mar 29, 2019

Key facts

NPI
1346701463
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
057.003994 (IL)
Practice address
515 W Harrison St
Auburn, IL 62615-1438
Phone
(217) 320-4939
NPI assigned
Mar 29, 2019
Sex
Female
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

LicenseStateTypeSpecialty
057.003994ILMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 057.003994 IL Yes

Addresses

Primary practice location

515 W Harrison St
Auburn, IL 62615-1438

Mailing address

515 W Harrison St
Auburn, IL 62615-1438

Other providers in Auburn, IL

All providers in Auburn, IL · Occupational Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.