Kyla Hopkins

Individual provider Active NPI Occupational Therapy Assistant · Carthage, MO

NPI 1982475331 · NPPES record last updated Jan 15, 2024

Key facts

NPI
1982475331
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2019006178 (MO)
Practice address
709 W Centennial Ave
Carthage, MO 64836-2816
Phone
(417) 359-7000
NPI assigned
Jan 15, 2024
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

LicenseStateTypeSpecialty
2019006178MOMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2019006178 MO Yes

Addresses

Primary practice location

709 W Centennial Ave
Carthage, MO 64836-2816

Mailing address

1515 Hilldale Dr
Neosho, MO 64850-1358

Other providers in Carthage, MO

All providers in Carthage, MO · Occupational Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.