Provider Demographics
NPI:1205427929
Name:BILLIOT, KAYLEE (MOT, LOTR)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:BILLIOT
Suffix:
Gender:F
Credentials:MOT, LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 CYPRESS VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-8029
Mailing Address - Country:US
Mailing Address - Phone:985-870-2518
Mailing Address - Fax:
Practice Address - Street 1:311 CYPRESS VILLAGE DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-8029
Practice Address - Country:US
Practice Address - Phone:985-870-2518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA311451225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist