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

Individual provider Occupational Therapist · NPI 1619324209

Michael Kidd, OTR/L is an Occupational Therapist in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

781 Black Oak Dr Ste 102
Medford, OR 97504-9501
Phone: (541) 789-4236
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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 358055 (OR)

Record details

NPI number1619324209
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 24, 2016
Last updated in NPPESMay 24, 2016
Mailing address781 Black Oak Dr Ste 102, Medford, OR 97504-9501

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