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

Mrs. Kaitlin Jean Wallace

Individual provider Occupational Therapist · NPI 1033882956

Mrs. Kaitlin Jean Wallace is an Occupational Therapist in Sheridan, Wyoming. Licensed in Wyoming. Registered with an NPI since 2021.

Licensed in
WY
In the registry since
2021
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Practice location Address checks out

918 W Brundage Ln
Sheridan, WY 82801-5827
Phone: (307) 673-4420
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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 OT-1570 (WY)

Record details

NPI number1033882956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

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