Provider Demographics
NPI:1447443148
Name:KAY, LA VETTA (COTA)
Entity type:Individual
Prefix:MS
First Name:LA VETTA
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 E RANCH DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1196
Mailing Address - Country:US
Mailing Address - Phone:719-547-0878
Mailing Address - Fax:
Practice Address - Street 1:1104 E RANCH DR
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-1196
Practice Address - Country:US
Practice Address - Phone:719-547-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-26
Last Update Date:2007-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant