Provider Demographics
NPI:1548434376
Name:KLEINHANS, DAVID LYNN (COTA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LYNN
Last Name:KLEINHANS
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W HIGHWAY 82
Mailing Address - Street 2:
Mailing Address - City:NOCONA
Mailing Address - State:TX
Mailing Address - Zip Code:76255-2530
Mailing Address - Country:US
Mailing Address - Phone:940-825-6859
Mailing Address - Fax:
Practice Address - Street 1:610 W HIGHWAY 82
Practice Address - Street 2:
Practice Address - City:NOCONA
Practice Address - State:TX
Practice Address - Zip Code:76255-2530
Practice Address - Country:US
Practice Address - Phone:940-825-6859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206956224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206956OtherTX OT EXAMINERS