| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KASEY DURHAM | 1245839695 | 2020-10-17 |
Kasey Durham [F] graduated in 2020 and primarily specializes in Occupational Therapy.
Kasey Durham is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245839695. Registration indicates Kasey Durham is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| PECOS ID | 7810307881 |
| Entity Type | Individual |
| Provider Name | Kasey Durham OTR/L |
| Practice Office Address | 2650 N TENAYA WAY STE 180 LAS VEGAS, NV US |
| Practice Office Telephone | 7022402952 |
| Practice Office Fax | 7022430482 |
| Mailing Address | 8585 S EASTERN AVE STE 100 LAS VEGAS, NV 891232818 US |
| Business Telephone | 7027988585 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | OT2612
NV |