IndividualActive
Kelly Fiala, MOTR/L
NPI 1285170209 · Gerontology Occupational Therapist · New Madrid, MO
Provider details
- NPI number
- 1285170209
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 2005028265 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
35 Villa Shopping Ctr
New Madrid, MO 63869-1230
Phone: (573) 621-3126
Approximate (ZIP-level) locationGet directions
Mailing address
630 Knollshire Way
Dardenne Prairie, MO 63368-8376
Registry dates
- Enumerated
- 2017-01-14
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.