Provider Demographics
NPI:1982583910
Name:COYLE, KARLIE R (COTA)
Entity type:Individual
Prefix:
First Name:KARLIE
Middle Name:R
Last Name:COYLE
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 1:17171 392ND AVE
Mailing Address - Street 2:
Mailing Address - City:REDFIELD
Mailing Address - State:SD
Mailing Address - Zip Code:57469-6706
Mailing Address - Country:US
Mailing Address - Phone:605-545-6684
Mailing Address - Fax:
Practice Address - Street 1:17171 392ND AVE
Practice Address - Street 2:
Practice Address - City:REDFIELD
Practice Address - State:SD
Practice Address - Zip Code:57469-6706
Practice Address - Country:US
Practice Address - Phone:605-545-6684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant