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

Kyle Shane Diethrich, COTA

Individual provider Occupational Therapy Assistant · NPI 1588962286

Kyle Shane Diethrich, COTA is an Occupational Therapy Assistant in Terre Haute, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

400 College Ave
Terre Haute, IN 47802
Phone: (812) 917-2320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 99045856A (IN)

Record details

NPI number1588962286
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 3, 2011
Last updated in NPPESMarch 3, 2011
Mailing address1402 Watertree Rd., Terre Haute, IN 47803

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