Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kacy Moses Gustafson, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1952494338

Kacy Moses Gustafson, COTA/L is an Occupational Therapy Assistant in North Augusta, South Carolina. Licensed in Georgia and South Carolina. Registered with an NPI since 2006.

Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

350 Austin Graybill Rd
North Augusta, SC 29860-9251
Phone: (803) 278-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2572 (SC)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA000860 (GA)

Record details

NPI number1952494338
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedSeptember 30, 2006
Last updated in NPPESJuly 8, 2007

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