Krissy Michelle Immel in Clarksville - Occupational Therapy Assistant
Krissy Michelle Immel - NPI 1700098167
Krissy Michelle Immel is a Occupational Therapy Assistant in Clarksville, Arkansas. Krissy Michelle Immel practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Krissy Michelle Immel is 1700098167. The last update date is 2007-07-08.
Krissy Michelle Immel's current location address is 1000 W Buchanan St, Clarksville, Arkansas. You can contact this provider via phone number 4797546210. The mailing address for Krissy Michelle Immel is 1000 W Buchanan St, Clarksville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Krissy Michelle Immel |
|---|---|
| Address | 1000 W Buchanan St, Clarksville, Arkansas |
| Phone Number | 4797546210 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1700098167 |
|---|---|
| Provider Enumeration Date | 2007-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1000 W Buchanan St |
|---|---|
| City | Clarksville |
| State | Arkansas (AR) |
| Post Code | 728302252 |
| Phone Number | 4797546210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | OT-A398 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the unique identification code assigned to Krissy Michelle Immel by the Centers for Medicare & Medicaid Services?
The Krissy Michelle Immel has been issued the NPI (National Provider Identifier) 1700098167. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Krissy Michelle Immel located?
The Krissy Michelle Immel is located at 1000 W Buchanan St, Clarksville, AR 728302252.
What is Krissy Michelle Immel's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Krissy Michelle Immel is Occupational Therapy Assistant, and the taxonomy code that classifies this field of practice is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700098167 to Krissy Michelle Immel?
The Centers for Medicare & Medicaid Services originally issued the 1700098167 to Krissy Michelle Immel on 2007-05-05.
When was the Krissy Michelle Immel's information last updated?
The Krissy Michelle Immel's information was last updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA