MEDICARE: DR. SIERRA CHRISTINE KAYE OTD

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
1	225X00000X	Occupational Therapist	OT-3066	NV

General Provider Information

NPI Number	:	1497470629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIERRA CHRISTINE KAYE OTD

Provider Business Mailing Address
First Line	:	8330 CHARLESTON PEAK ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89166-5168
Country	:	US
Telephone Number	:	702-523-2527
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1962
Country	:	US
Telephone Number	:	702-570-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	10/10/2022

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