Individual
KASEY ANN KIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 12TH ST E, TIFTON, GA 31794-4007
(229) 652-5650
(229) 652-5642
Mailing address
200 W MOORE ST, DBA VALDOSTA PEDIATRIC THERAPY SERVICES, VALDOSTA, GA 31602-2919
(229) 253-8500
(229) 253-8522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009379
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT009379
GEORGIA SECRETARY OF STATE LICENSING BOARD
GA
Enumeration date
11/19/2024
Last updated
11/19/2024
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