Provider Demographics
NPI:1669347068
Name:VOGEL, KAYLA (MHA, OTR/L)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MHA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 E LINDSEY ST APT 2
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-1836
Mailing Address - Country:US
Mailing Address - Phone:209-914-7847
Mailing Address - Fax:
Practice Address - Street 1:12400 S HIWASSEE RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73165-7681
Practice Address - Country:US
Practice Address - Phone:209-914-7847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5941225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist