Provider Demographics
NPI:1164140471
Name:AMY KUENZI OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:AMY KUENZI OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUENZI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:605-413-5568
Mailing Address - Street 1:7413 W ZINNIA CIR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-4574
Mailing Address - Country:US
Mailing Address - Phone:605-413-5568
Mailing Address - Fax:
Practice Address - Street 1:7413 W ZINNIA CIR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-4574
Practice Address - Country:US
Practice Address - Phone:605-413-5568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency