Provider Demographics
NPI:1841187341
Name:HAHN, KAYLEIGH (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 LAKE PARK DR SE APT K
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-7620
Mailing Address - Country:US
Mailing Address - Phone:678-654-7290
Mailing Address - Fax:
Practice Address - Street 1:3540 COBB PKWY NW STE 300
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4179
Practice Address - Country:US
Practice Address - Phone:678-501-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT009550225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist