National Provider Identifier

Kyia Walsh, OTR/L

Kyia Walsh, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1114747474Fairport, NYOccupational Therapist

Profile Overview

NPI
1114747474
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 11, 2024
Last Updated
October 11, 2024

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Mailing Address

  • 3449 Dewberry Ln
  • Macedon, NY 14502-8726

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1114747474
Entity Type
Individual
Last Name
Walsh
First Name
Kyia
Credential
OTR/L
Mailing Street Address
3449 Dewberry Ln
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8726
Mailing Country
US
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Enumeration Date
October 11, 2024
Last Updated
October 11, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
October 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)