National Provider Identifier

Kasey Wild

Kasey Wild is listed in the NPPES registry with a primary specialty of Occupational Therapist in Geneva, NY and a listed phone number of (315) 789-0691.

NPI 1932658804Geneva, NYOccupational Therapist

Profile Overview

NPI
1932658804
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 03, 2016
Last Updated
October 03, 2016

Practice Location

  • 700 Liberty Cmns
  • Geneva, NY 14456-2064

Phone: (315) 789-0691

Mailing Address

  • 4161 Middle RD
  • Canandaigua, NY 14424-8311

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1932658804
Entity Type
Individual
Last Name
Wild
First Name
Kasey
Mailing Street Address
4161 Middle RD
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-8311
Mailing Country
US
Mailing Phone
(585) 506-8496
Practice Street Address
700 Liberty Cmns
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2064
Practice Country
US
Practice Phone
(315) 789-0691
Enumeration Date
October 03, 2016
Last Updated
October 03, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)