Provider Demographics
NPI:1861089377
Name:HUGASIAN, KYLEE J (OTR/L)
Entity type:Individual
Prefix:MS
First Name:KYLEE
Middle Name:J
Last Name:HUGASIAN
Suffix:
Gender:F
Credentials:OTR/L
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Mailing Address - Street 1:6233 DURAND AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-4961
Mailing Address - Country:US
Mailing Address - Phone:262-497-7270
Mailing Address - Fax:877-540-0135
Practice Address - Street 1:6233 DURAND AVE STE 104
Practice Address - Street 2:6233 DURAND AVE, STE 104
Practice Address - City:MT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-5340
Practice Address - Country:US
Practice Address - Phone:262-497-7270
Practice Address - Fax:877-540-0135
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist