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

Kimberly Kisner, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1801304050

Kimberly Kisner, COTA/L is an Occupational Therapy Assistant in San Tan Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
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

36457 N Gantzel Rd
San Tan Valley, AZ 85140-7342
Phone: (480) 784-3270
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 7323 (AZ)

Record details

NPI number1801304050
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJanuary 22, 2018
Last updated in NPPESJanuary 22, 2018

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