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

Kyle Medearis, MSOTRL

Individual provider Occupational Therapist · NPI 1780081075

Kyle Medearis, MSOTRL is an Occupational Therapist in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

415 Munson Ave Ste 101
Traverse City, MI 49686-3059
Phone: (231) 486-6330
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201008742 (MI)

Record details

NPI number1780081075
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOTRL
Sole proprietorNo
NPI enumeratedDecember 2, 2014
Last updated in NPPESApril 18, 2018

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