Kenna Lynn Kacillas, OTR/L

NPI #1114447893 in Cheyenne, Wyoming

Provider Information

NPI Number: 1114447893
Entity Type: Individual
Name: Kenna Lynn Kacillas, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jun 22, 2017
Last Updated: Jun 22, 2017

Practice Location

Address: 3128 BOXELDER DR
City: Cheyenne
State: Wyoming
ZIP Code: 82001-5808
Phone: (307) 634-7901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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