Individual
KASIE TRIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2593 N ROCKY RIVER RD, LANCASTER, SC 29720-6038
(704) 641-2146
Mailing address
2593 N ROCKY RIVER RD, LANCASTER, SC 29720-6038
(704) 641-2146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6680
SC
225X00000X
Occupational Therapist
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114644804
—
NC
05
—
1114644804
—
SC
Enumeration date
10/24/2022
Last updated
10/25/2022
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