Provider Demographics
NPI:1215111893
Name:KINLEY, TONI TYSINGER (OTR/L)
Entity type:Individual
Prefix:MS
First Name:TONI
Middle Name:TYSINGER
Last Name:KINLEY
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 1:706 MILL STREAM LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6383
Mailing Address - Country:US
Mailing Address - Phone:336-239-2465
Mailing Address - Fax:336-464-2454
Practice Address - Street 1:706 MILL STREAM LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6383
Practice Address - Country:US
Practice Address - Phone:336-239-2465
Practice Address - Fax:336-464-2454
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1221225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics