Mrs Kaitlin Jean Wallace, - Occupational Therapist in Sheridan, WY

Mrs Kaitlin Jean Wallace, is a Occupational Therapist based in Sheridan, Wyoming. Mrs Kaitlin Jean Wallace is licensed to practice in Wyoming (license number OT-1570) and her current practice location is 918 W Brundage Ln, Sheridan, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 673-4420.

NPI number for Mrs Kaitlin Jean Wallace is 1033882956 and her current mailing address is 814 N Custer St Apt 102, Sheridan, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033882956.

Contact Information

Mrs Kaitlin Jean Wallace,
918 W Brundage Ln,
Sheridan, WY 82801-5827
(307) 673-4420
Not Available



Healthcare Provider's Profile

Full NameMrs Kaitlin Jean Wallace
GenderFemale
SpecialityOccupational Therapist
Location918 W Brundage Ln, Sheridan, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033882956
  • Provider Enumeration Date: 07/27/2021
  • Last Update Date: 07/27/2021

Medical Identifiers

Medical identifiers for Mrs Kaitlin Jean Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033882956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-1570 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kaitlin Jean Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kaitlin Jean Wallace,
814 N Custer St Apt 102,
Sheridan, WY 82801-3749

Ph: (818) 209-8709
Mrs Kaitlin Jean Wallace,
918 W Brundage Ln,
Sheridan, WY 82801-5827

Ph: (307) 673-4420

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› Verified 2 days ago


Occupational Therapist in Sheridan, WY

Ashton Hudspeth-miller,
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 50 W 3rd St, Sheridan, WY 82801
Phone: 307-672-2092    Fax: 307-673-1969
Alexis Leigh Prosinski, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 352 Whitney Ln, Sheridan, WY 82801
Phone: 307-672-5000    
Ms. Connie Allmaras, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1898 Fort Road, Vamc, Sheridan, WY 82801
Phone: 307-672-3473    Fax: 307-672-1958
Ms. Clella C Collier, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1898 Fort Rd, Sheridan, WY 82801
Phone: 307-672-3473    Fax: 307-672-1941
Mrs. Ginette Cecile Aasby, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 49 Valley View Dr, Sheridan, WY 82801
Phone: 417-459-8735    
Michelle Anne Eman, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 918 W Brundage Ln, Sheridan, WY 82801
Phone: 307-673-4420    

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