Provider Demographics
NPI:1154142297
Name:RORRER, KAYLA (MOT)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:RORRER
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45715-5066
Mailing Address - Country:US
Mailing Address - Phone:304-923-7194
Mailing Address - Fax:
Practice Address - Street 1:125 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:OH
Practice Address - Zip Code:45715-5066
Practice Address - Country:US
Practice Address - Phone:304-923-7194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1892225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist