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

Mallory Kieda

Individual provider Occupational Therapy Assistant · NPI 1578339107

Mallory Kieda is an Occupational Therapy Assistant in Fresno, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

577 S Peach Ave
Fresno, CA 93727-3952
Phone: (559) 251-8463
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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 6020 (CA)

Record details

NPI number1578339107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 25, 2023
Mailing address577 S Peach Ave, Fresno, CA 93727-3952

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