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

Individual provider Occupational Therapist · NPI 1063899862

Kimberly Gresham, OTR is an Occupational Therapist in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1001 Wsw Loop 323
Tyler, TX 75701-9416
Phone: (903) 509-1313
Fax: (903) 509-1383
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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 114603 (TX)

Record details

NPI number1063899862
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 30, 2015
Last updated in NPPESApril 30, 2015
Mailing address612 E Twin Creeks Trl, Troup, TX 75789-6708

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