Brynn Kimberly Lynch, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Webb City, MO
NPI 1861709560 · NPPES record last updated Sep 2, 2010
Key facts
- NPI
- 1861709560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 000432 (MO)
- Practice address
- 2077 Stadium Dr
Webb City, MO 64870-9743 - Phone
- (417) 673-1573
- NPI assigned
- Sep 2, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000432 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 000432 | MO | Yes |
Addresses
Primary practice location
2077 Stadium Dr
Webb City, MO 64870-9743
Mailing address
2077 Stadium Dr
Webb City, MO 64870-9743
Other providers in Webb City, MO
- Lincare Inc.
- Nicole Lingenfelter
- Live Well Psychotherapy Services of Southwest Missouri LLC
- Katlin Loos
- David Josiah Lundy
- Stuart Christian Mauger
- Cory McLeod
- Rime Mehannek
- Annette Merritt
- Breck Alan Mitchell
All providers in Webb City, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2010. 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.