Moses Nguu Ikiugu, OTR
Individual provider Active NPI Occupational Therapist · Vermillion, SD
NPI 1053604272 · NPPES record last updated May 20, 2011
Key facts
- NPI
- 1053604272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0644 (SD)
- Practice address
- 16 E Bloomingdale St
Vermillion, SD 57069-3071 - Phone
- (605) 624-9352
- NPI assigned
- May 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0644 | SD | Yes |
Addresses
Primary practice location
16 E Bloomingdale St
Vermillion, SD 57069-3071
Mailing address
16 E Bloomingdale St
Vermillion, SD 57069-3071
Phone (605) 624-9352
Other providers in Vermillion, SD
- Houska Dental Clinic
- Randy George Houska
- Elizabeth Anne Hughes
- Hannah Hazly Barbara Hutcheson
- Hy-Vee Inc
- Sheila Rae Jacobson
- Phil D Jaquith
- Ashley Johnson
- Cynthia Johnson
- Kylie Johnson
All providers in Vermillion, SD · Occupational Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2011. 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.