Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kacie Marie Ingram, CTRS/L

Individual provider Recreation Therapist · NPI 1083211478

Kacie Marie Ingram, CTRS/L is a Recreation Therapist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020

Practice location Address checks out

921 NE 13th St
Oklahoma City, OK 73104-5007
Phone: (405) 664-4658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 139 (OK)

Record details

NPI number1083211478
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS/L
Sole proprietorNo
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

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