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NPI Code Detail

MEDICARE: KELLY KAY GUILLORY OTR

MEDICARE: KELLY KAY GUILLORY 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 Therapist108182TX
2225XP0200XPediatric Occupational Therapist108182TX

General Provider Information

NPI Number : 1316123805
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY KAY GUILLORY OTR
Provider Business Mailing Address
First Line : 370 GREEN HOLLOW DR
Second Line :
City : TEMPLE
State : TX
Zip : 76502-6126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 370 GREEN HOLLOW DR
Second Line :
City : TEMPLE
State : TX
Zip : 76502-6126
Country : US
Telephone Number : 254-780-9658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2008
Last Update Date : 04/30/2026

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Directions to “ KELLY KAY GUILLORY OTR” Practice Location

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