Kathy L Reynolds
Individual provider Active NPI Occupational Therapy Assistant · Odin, IL
NPI 1700435757 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1700435757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 057002836 (IL)
- Practice address
- 300 Green St
Odin, IL 62870-1062 - Phone
- (618) 775-6444
- NPI assigned
- Sep 11, 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 |
|---|---|---|---|
| 057002836 | IL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 057002836 | IL | Yes |
Addresses
Primary practice location
300 Green St
Odin, IL 62870-1062
Mailing address
300 Green St
Odin, IL 62870-1062
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbheinzmann@savasc.com | Health Information Exchange (HIE) |
Other providers in Odin, IL
- Odin Health and Rehab Center LLC
- Odin Health and Rehab Center LLC
- Odin Health and Rehab Center LLC
- Odin HS 700
- Odin Public School District 722
- Tisha Jo Rueter
- Brittany Leight Shuler
- SSC Odin Operating Company LLC
- Christilyn Wacker
- Janie Sue Zimmerman
All providers in Odin, 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 Sep 11, 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.