MEDICARE: LINDSEY KICHI

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

General Provider Information

NPI Number	:	1114407087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY KICHI

Provider Business Mailing Address
First Line	:	1524 FALLS AVE
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2445
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	227 E TALLMADGE AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44310-2337
Country	:	US
Telephone Number	:	300-761-2002
Fax Number	:

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

Provider Enumeration Date	:	08/20/2018
Last Update Date	:	08/20/2018

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Directions to “ LINDSEY KICHI ” Practice Location

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