Marcy Kay Baker, OTR/L

Individual provider Active NPI Occupational Therapist · Bridgeton, MO

NPI 1134965239 · NPPES record last updated Jul 8, 2024

Key facts

NPI
1134965239
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2001014323 (MO)
Practice address
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone
(314) 344-6460
NPI assigned
Jul 8, 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

LicenseStateTypeSpecialty
2001014323MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2001014323 MO Yes

Addresses

Primary practice location

12303 De Paul Dr
Bridgeton, MO 63044-2512

Mailing address

11700 Beaverton Dr
Bridgeton, MO 63044-2840
Phone (314) 495-8641

Other providers in Bridgeton, MO

All providers in Bridgeton, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.