IndividualActive
Kailey Walcker, COTA/L
NPI 1063296242 · Occupational Therapy Assistant · Williston, ND
Provider details
- NPI number
- 1063296242
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 2043 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1905 14th St W
Williston, ND 58801-4063
Phone: (701) 651-6437
Fax: (701) 516-8462
Approximate (ZIP-level) locationGet directions
Mailing address
1905 14th St W
Williston, ND 58801-4063
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.