Mitzi Michelle Cleary in Country Club - Occupational Therapist

Mitzi Michelle Cleary - NPI 1407951791

Mitzi Michelle Cleary is a Occupational Therapist in Country Club, Missouri. Mitzi Michelle Cleary practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mitzi Michelle Cleary is 1407951791. The last update date is 2010-12-07.

Mitzi Michelle Cleary's current location address is 18939 Evergreen Dr, Country Club, Missouri. You can contact this provider via phone number 8162793020 and fax number 8162793094. The mailing address for Mitzi Michelle Cleary is 18939 Evergreen Dr, Country Club, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Mitzi Michelle Cleary
Address 18939 Evergreen Dr, Country Club, Missouri
Phone Number 8162793020
Fax Number 8162793094
Sole Proprietor Y
Credentials OTD, OTR/L

NPI Number Detail

NPI Number 1407951791
Provider Enumeration Date 2006-09-13
Last Updated Date 2010-12-07

Provider Mailing Address Detail

Address 18939 Evergreen Dr
City Country Club
State Missouri (MO)
Post Code 645054058
Phone Number 8162793020
Fax Number 8162793094

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 2003000911
Definition:
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 Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
711037536 MO EMPLOYMENT IDENTIFICATION NUMB

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FAQs about Mitzi Michelle Cleary

What is the unique identifier code issued to Mitzi Michelle Cleary by the Centers for Medicare & Medicaid Services?

The Mitzi Michelle Cleary has been assigned the NPI (National Provider Identifier) 1407951791. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

What is the unique 10-digit identifier code issued to Mitzi Michelle Cleary by the Centers for Medicare & Medicaid Services?

The Mitzi Michelle Cleary has been assigned the NPI (National Provider Identifier) 1407951791 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mitzi Michelle Cleary's facilities are situated?

The facilities of Mitzi Michelle Cleary are physically located at the following address: 18939 Evergreen Dr, Country Club, MO, 645054058.

What is Mitzi Michelle Cleary's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mitzi Michelle Cleary's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.

On what date was the 1407951791 assigned to Mitzi Michelle Cleary?

The Mitzi Michelle Cleary was issued its 1407951791 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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