Provider Demographics
NPI:1861642944
Name:RHONEY, KAY SUSAN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KAY
Middle Name:SUSAN
Last Name:RHONEY
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 1:1414 COUNTRY COMMONS LN
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-2170
Mailing Address - Country:US
Mailing Address - Phone:503-314-9686
Mailing Address - Fax:503-387-3140
Practice Address - Street 1:1414 COUNTRY COMMONS LN
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-2170
Practice Address - Country:US
Practice Address - Phone:503-314-9686
Practice Address - Fax:503-387-3140
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR113134225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist