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NPI Code Detail

MEDICARE: KAYLA CASKEY OTR

MEDICARE: KAYLA CASKEY OTR
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
1225X00000XOccupational Therapist056.008255IL
2225X00000XOccupational Therapist31004316AIN

General Provider Information

NPI Number : 1487817805
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA CASKEY OTR
Provider Business Mailing Address
First Line : 2076 S COTTRELL LN
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47802-2746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2222 MARGARET AVE
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47802-3339
Country : US
Telephone Number : 812-238-6986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 07/28/2008

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