Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendra Rae Nickol, OTR/L

Individual provider Occupational Therapist · NPI 1083314470

Kendra Rae Nickol, OTR/L is an Occupational Therapist in Missoula, Montana. Practices as a sole proprietor. Licensed in Montana.

Licensed in
MT
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2321 S 3rd St W # 1332
Missoula, MT 59801-1332
Phone: (406) 214-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTP-OT-LIC-9609 (MT)

Record details

NPI number1083314470
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023

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