Provider Demographics
NPI:1801558457
Name:SCHNEIDER, KAYLA KRISTINE (MS OTR/L)
Entity type:Individual
Prefix:MISS
First Name:KAYLA
Middle Name:KRISTINE
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-2342
Mailing Address - Country:US
Mailing Address - Phone:203-260-5813
Mailing Address - Fax:
Practice Address - Street 1:6 STRATHMORE RD
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2419
Practice Address - Country:US
Practice Address - Phone:508-650-5940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13120225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist