Individual provider · Type 1 NPI

Kennedy J. Wilson, OT

Occupational Therapist · Springfield, MO

NPI number 1891608873 Active

Practice location

2864 S Nettleton Ave
Springfield, MO 65807-5970

Call (417) 605-7168 Map

Fax (417) 708-0889

Other practice locations

  • 2673 E Sawyer Rd, Republic, MO 65738-7574 · (417) 605-7100
  • 500 NE Colbern Rd, Lees Summit, MO 64086-4710 · (417) 605-7100
  • 33 Gage Dr, Hollister, MO 65672-5862 · (417) 605-7100
  • 4722 E 32nd St, Joplin, MO 64804-4411 · (417) 605-7100
  • 1721 W Elfindale St, Springfield, MO 65807-1295 · (417) 605-7100

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2026046105 (MO)

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…

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About NPI 1891608873

Kennedy J. Wilson, OT's National Provider Identifier is 1891608873, issued on Sep 23, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Springfield, MO. The record was last updated on Oct 1, 2026.