Kayla Dawn Henderson, MOTR/L

Individual provider Active NPI Occupational Therapist · Webb City, MO

NPI 1700510666 · NPPES record last updated Jul 14, 2022

Key facts

NPI
1700510666
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2008019646 (MO)
Practice address
411 N Madison St
Webb City, MO 64870-1238
Phone
(417) 673-6000
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
2008019646MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Webb City R-7 School District Past
since Jul 17, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2008019646 MO Yes

Addresses

Primary practice location

411 N Madison St
Webb City, MO 64870-1238

Mailing address

1803 Avondale Ave
Webb City, MO 64870-9642
Phone (417) 439-8264

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kaylahenderson@wcr7.org Direct

Other providers in Webb City, MO

All providers in Webb City, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.