Provider Demographics
NPI:1689940421
Name:HUNTER, KYRA MARIE (OT)
Entity Type:Individual
Prefix:MRS
First Name:KYRA
Middle Name:MARIE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KYRA
Other - Middle Name:MARIE
Other - Last Name:ERTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3730 N BERKLEY CIR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3316
Mailing Address - Country:US
Mailing Address - Phone:330-990-8981
Mailing Address - Fax:
Practice Address - Street 1:11083 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1409
Practice Address - Country:US
Practice Address - Phone:513-674-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT009589225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist