Provider Demographics
NPI:1881290807
Name:LYNAGH, KAYLA NICOLE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:NICOLE
Last Name:LYNAGH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7033 SHANER DR
Mailing Address - Street 2:
Mailing Address - City:WALTON HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-4301
Mailing Address - Country:US
Mailing Address - Phone:440-488-8049
Mailing Address - Fax:
Practice Address - Street 1:7033 SHANER DR
Practice Address - Street 2:
Practice Address - City:WALTON HILLS
Practice Address - State:OH
Practice Address - Zip Code:44146-4301
Practice Address - Country:US
Practice Address - Phone:440-488-8049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-06
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH010131225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist