Provider Demographics
NPI:1124446273
Name:SAYRE, KATHRYN MICHELLE (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MICHELLE
Last Name:SAYRE
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 1:4000 NEW YARMOUTH WAY
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-8979
Mailing Address - Country:US
Mailing Address - Phone:919-622-7686
Mailing Address - Fax:
Practice Address - Street 1:3514 UNIVERSITY DR
Practice Address - Street 2:OFFICE #8
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6247
Practice Address - Country:US
Practice Address - Phone:919-493-7002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9156225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist