Sierra Keller, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Houston, MO
NPI 1033973193 · NPPES record last updated Feb 9, 2024
Key facts
- NPI
- 1033973193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2020036317 (MO)
- Practice address
- 206 W Spruce St
Houston, MO 65483-1126 - Phone
- (417) 967-3024
- NPI assigned
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020036317 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2020036317 | MO | Yes |
Addresses
Primary practice location
206 W Spruce St
Houston, MO 65483-1126
Mailing address
905 Hill Street
Houston, MO 65483
Phone (417) 967-3196
Other providers in Houston, MO
- John D Huff
- Steven Charles Hutcheson
- Dara Jackson
- Selina A Jeanise
- Rachel Johnson
- Jerid Land
- Carl W Lange IV
- Jennifer Renee Leggins
- Lester E Cox Medical Centers
- Jason Matthew Loden
All providers in Houston, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.