Kayla Mae Smith
Individual provider Active NPI Occupational Therapy Assistant · Mount Sterling, IL
NPI 1497213664 · NPPES record last updated Mar 6, 2019
Key facts
- NPI
- 1497213664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057004724 (IL)
- Practice address
- 435 Camden Rd
Mount Sterling, IL 62353-1058 - Phone
- (217) 773-4411
- NPI assigned
- Mar 6, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 057004724 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057004724 | IL | Yes |
Addresses
Primary practice location
435 Camden Rd
Mount Sterling, IL 62353-1058
Mailing address
435 Camden Rd
Mt Sterling, IL 62353-1058
Phone (217) 773-3377
Other providers in Mount Sterling, IL
- Molly Ryssman
- John Thomas Schneider
- Jennifer S Schroeder
- Kayla A. Sipes
- Nicholas Skinner
- Sarah Elaine Smith
- Jasmine Sommer
- Beth Stephens
- Jason Taylor
- Jonathon Paul Thoele
All providers in Mount Sterling, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2019. 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.