Kaylee Mackenzie Murry, COTA
Individual provider Active NPI Occupational Therapy Assistant · Horatio, AR
NPI 1669192571 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1669192571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 217556 (TX)
- Practice address
- 158 Rocky Ford Rd
Horatio, AR 71842-8911 - Phone
- (870) 784-0816
- NPI assigned
- Aug 31, 2022
- 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 |
|---|---|---|---|
| 217556 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 217556 | TX | Yes |
Addresses
Primary practice location
158 Rocky Ford Rd
Horatio, AR 71842-8911
Mailing address
158 Rocky Ford Rd
Horatio, AR 71842-8911
Phone (870) 784-0816
Other providers in Horatio, AR
- Advanced Healing Solutions Ar
- Living Hope
- Brandy R Pulliam
- Kristy Lynn Randall
- Shaleko Rae Shelton
- Steve Haden Sullivan
- Supt of Horatio High
All providers in Horatio, AR · Occupational Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. 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.