IndividualActive
Kaitlyn Diedrich, COTA
NPI 1023550662 · Occupational Therapy Assistant · Afton, WY
Provider details
- NPI number
- 1023550662
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- COTA-1177 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
675 Washington
Afton, WY 83110
Phone: (307) 885-9286
Fax: (307) 885-9287
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 570
Mountain View, WY 82939-0570
Registry dates
- Enumerated
- 2016-11-14
- Last updated
- 2016-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.