Individual
KELLY CAVINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6344 S FM 730, DECATUR, TX 76234-8702
(940) 393-1851
Mailing address
6344 S FM 730, DECATUR, TX 76234-8702
(940) 393-1851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103995
TX
Other
Enumeration date
06/12/2014
Last updated
01/27/2026
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