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

Stacy Waters, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1558730564

Stacy Waters, COTA/L is an Occupational Therapy Assistant in Dodge City, Kansas. Licensed in Kansas. Registered with an NPI since 2015.

Licensed in
KS
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

200 Campus Dr
Dodge City, KS 67801-2760
Phone: (620) 225-1928
Fax: (620) 408-9058
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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 18-01135 (KS)

Record details

NPI number1558730564
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedSeptember 20, 2015
Last updated in NPPESSeptember 20, 2015
Mailing address200 Campus Dr, Dodge City, KS 67801-2760

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