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NPI Code Detail

MEDICARE: KENDRA SIMONSON OTD, OTR/L

MEDICARE: KENDRA SIMONSON OTD, OTR/L
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
1225XP0200XPediatric Occupational TherapistOTP-OT-PRV-12704MT

General Provider Information

NPI Number : 1366301210
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA SIMONSON OTD, OTR/L
Provider Business Mailing Address
First Line : 3240 DREDGE DR
Second Line :
City : HELENA
State : MT
Zip : 59602-0548
Country : US
Telephone Number : 406-442-7920
Fax Number :
Provider Business Practice Location Address
First Line : 3240 DREDGE DR
Second Line :
City : HELENA
State : MT
Zip : 59602-0548
Country : US
Telephone Number : 406-442-7920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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