Individual
KYLA JEAN GUTHMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 712-4500
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
984
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027842
BLUE CROSS BLUE SHIELD
ND
05
—
51509
—
ND
Enumeration date
06/15/2007
Last updated
08/03/2023
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