Provider Demographics
NPI:1114408549
Name:SAHNI, KIRAN (OTR)
Entity Type:Individual
Prefix:
First Name:KIRAN
Middle Name:
Last Name:SAHNI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 HIAWATHA BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-1904
Mailing Address - Country:US
Mailing Address - Phone:940-224-8360
Mailing Address - Fax:
Practice Address - Street 1:SENIOR CARE HEALTH AND REHABILITATION CENTER
Practice Address - Street 2:910 MIDWESTERN PARKWAY
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76302
Practice Address - Country:US
Practice Address - Phone:940-767-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104966225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104966Medicaid
TX104966OtherOTR