Les John Kiesel, OTR
Individual provider Active NPI Occupational Therapist · Dale, IN
NPI 1982802682 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982802682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31001496A (IN)
- Practice address
- 404 West Willow Road
Dale, IN 47523 - Phone
- (812) 937-4489
- Fax
- (812) 937-7101
- NPI assigned
- Jul 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 31001496A | IN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31001496A | IN | Yes |
Addresses
Primary practice location
404 West Willow Road
Dale, IN 47523
Mailing address
10685 S 310 W
Haubstadt, IN 47639
Phone (812) 937-4489
Other providers in Dale, IN
- Alexis Henning
- Jayci Brenae Howe
- Ashraf Jewell
- Kimberly Renee Jochem
- Paula J Jochim
- Mary Colleen Kiesel
- Deborah Konerding
- Halle Marie Laswell
- Lifespring, Inc
- Lifespring, Inc
All providers in Dale, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.