Kayla Ann Davis, COTA

Individual provider Active NPI Occupational Therapy Assistant · Stover, MO

NPI 1992052153 · NPPES record last updated Aug 7, 2012

Key facts

NPI
1992052153
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
103 W 7TH St
Stover, MO 65078-0972
Phone
(573) 378-0521
NPI assigned
Aug 7, 2012
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

103 W 7TH St
Stover, MO 65078-0972

Mailing address

103 W 7TH St
Stover, MO 65078-0972
Phone (573) 378-0521

Other providers in Stover, MO

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

Sources for this page

Verify at the official NPI Registry.