Individual provider · Type 1 NPI

Kylie Gagnon Randall, OT

Occupational Therapist · Broadus, MT

NPI number 1114428133 Active

Practice location

104 N Trautman Ave
Broadus, MT 59317-7504

Mailing address

3400 Stucky Rd
Bozeman, MT 59718-7557

Other practice locations

  • 1450 Ellis St Ste 201, Bozeman, MT 59715-8813 · (406) 556-9110

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

Another provider at this address

About NPI 1114428133

Kylie Gagnon Randall, OT's National Provider Identifier is 1114428133, issued on Feb 25, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Broadus, MT. The record was last updated on Jun 15, 2021.