Kimberly Gresham, OTR

Occupational Therapist · Tyler, TX

Individual Active NPI

NPI number 1063899862

Practice location

1001 WSW Loop 323
Tyler, TX 75701-9416
Phone
(903) 509-1313
Fax
(903) 509-1383

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NPI record

NPI
1063899862
Entity type
Individual (Type 1)
Enumeration date
April 30, 2015
Last updated
April 30, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 114603 TX

Mailing address

612 E Twin Creeks Trl
Troup, TX 75789-6708
Phone
(936) 556-3756

About Kimberly Gresham

Kimberly Gresham, OTR is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 1001 WSW Loop 323, Tyler, TX 75701-9416. The NPI number 1063899862 was assigned on April 30, 2015 and the record was last updated on April 30, 2015.

Kimberly Gresham lists a license in the registry: #114603 (TX) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kimberly Gresham, OTR?

The NPI number is 1063899862.

What is the phone number of Kimberly Gresham?

The phone number listed for the practice location is (903) 509-1313.

Where is Kimberly Gresham located?

1001 WSW Loop 323, Tyler, TX 75701-9416.

What is the taxonomy code for Kimberly Gresham?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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