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NPI Code Detail

MEDICARE: MRS. KASEY LYNN KRASK OTA

MEDICARE: MRS. KASEY LYNN KRASK OTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant210506TX

General Provider Information

NPI Number : 1346934767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KASEY LYNN KRASK OTA
Provider Business Mailing Address
First Line : 113 ROYAL TROON DR
Second Line :
City : CIBOLO
State : TX
Zip : 78108-3295
Country : US
Telephone Number : 210-388-8763
Fax Number :
Provider Business Practice Location Address
First Line : 816 EVERYDAY WAY
Second Line :
City : CIBOLO
State : TX
Zip : 78108-4080
Country : US
Telephone Number : 210-538-3812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 06/07/2023

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Directions to “ MRS. KASEY LYNN KRASK OTA” Practice Location

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