Provider Demographics
NPI:1962696278
Name:KEMPLE, CYNTHIA R (OT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:KEMPLE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 S 12TH STREET
Mailing Address - Street 2:SUITE #200
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024
Mailing Address - Country:US
Mailing Address - Phone:269-372-7200
Mailing Address - Fax:269-372-1630
Practice Address - Street 1:3200 W CENTRE AVE
Practice Address - Street 2:SUITE #202
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-4889
Practice Address - Country:US
Practice Address - Phone:269-321-0929
Practice Address - Fax:269-321-1767
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand