NPI 1114447893

Kenna Lynn Kacillas, OTRL

Practitioner Occupational Therapist Cheyenne, WY

Practice location

Address: 3128 Boxelder Dr, Cheyenne, WY 82001-5808
Phone: (307) 634-7901
Mailing address: 3982 Mount Flora St, Wellington, CO 80549-2207

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OTR-1208 (WY)

Other Occupational Therapist providers in Wyoming →

Registry record

NPI: 1114447893
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2017
Record last updated: 22 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.