IndividualActive
Kimberly Kukson, COTA/L, CLT
NPI 1669114492 · Occupational Therapy Assistant · Independence, IA
Provider details
- NPI number
- 1669114492
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L, CLT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2300 Swan Lake Blvd Ste 103
Independence, IA 50644-9708
Phone: (319) 334-5155
Approximate (ZIP-level) locationGet directions
Mailing address
2300 Swan Lake Blvd Ste 103
Independence, IA 50644-9708
Registry dates
- Enumerated
- 2022-04-12
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.