Kyle Lee Decker, COTA
Skilled Nursing Facility · Washington, UT
Practice location
504 E Telegraph St Unit 81Washington, UT 84780-8851
- Phone
- (210) 284-4622
NPI record
- NPI
- 1558657114
- Entity type
- Individual (Type 1)
- Enumeration date
- June 22, 2011
- Last updated
- June 22, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X |
0131000877 | VA |
About Kyle Decker
Kyle Lee Decker, COTA is a healthcare provider registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 504 E Telegraph St Unit 81, Washington, UT 84780-8851. The NPI number 1558657114 was assigned on June 22, 2011 and the record was last updated on June 22, 2011.
Kyle Decker lists a license in the registry: #0131000877 (VA) for Skilled Nursing Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kyle Lee Decker, COTA?
The NPI number is 1558657114.
What is the phone number of Kyle Decker?
The phone number listed for the practice location is (210) 284-4622.
Where is Kyle Decker located?
504 E Telegraph St Unit 81, Washington, UT 84780-8851.
What is the taxonomy code for Kyle Decker?
The primary taxonomy code is 314000000X – Skilled Nursing Facility.
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.