NPI 1184366882

Kyle Devon Watts, CTRS

Practitioner Recreation Therapist Northport, NY

Practice location

Address: 79 Middleville Rd, Northport, NY 11768-2200
Phone: (631) 261-4400
Mailing address: 161 Grand Ave, Shirley, NY 11967-1926

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in New York →

Registry record

NPI: 1184366882
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2022
Record last updated: 12 Apr 2022

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.