Provider Demographics
NPI:1124918941
Name:KISSLING, ABIGAIL KAYE (OTR)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:KAYE
Last Name:KISSLING
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 1:2616 PARK ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:TX
Mailing Address - Zip Code:75428-3806
Mailing Address - Country:US
Mailing Address - Phone:903-268-5061
Mailing Address - Fax:
Practice Address - Street 1:3339 NEOLA RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-5447
Practice Address - Country:US
Practice Address - Phone:214-557-5329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124926225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist