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

Kendall Jo Lacy, OTR

Individual provider Pediatric Occupational Therapist · NPI 1265062400

Kendall Jo Lacy, OTR is a Pediatric Occupational Therapist in Wichita Falls, Texas. Licensed in Texas. Registered with an NPI since 2020.

Licensed in
TX
In the registry since
2020
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

4309 Old Jacksboro Hwy Ste 101
Wichita Falls, TX 76302-2700
Phone: (940) 386-1004
Fax: (940) 386-9944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 119508 (TX)

Record details

NPI number1265062400
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 30, 2020
Certification dateJanuary 30, 2020

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