Provider Demographics
NPI:1851159016
Name:VINSON, KAYLA (COTA)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:VINSON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 SW HAZELTON CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1719
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:502 ROSEPORT RD
Practice Address - Street 2:
Practice Address - City:ELWOOD
Practice Address - State:KS
Practice Address - Zip Code:66024-7803
Practice Address - Country:US
Practice Address - Phone:913-348-4453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant