Nicholas Burton Ames

Individual provider Active NPI Occupational Therapist · Grand Rapids, MI

NPI 1154824522 · NPPES record last updated Mar 13, 2018

Key facts

NPI
1154824522
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone
(616) 391-1261
NPI assigned
Mar 13, 2018
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Mailing address

100 Michigan St NE
Grand Rapids, MI 49503-2560

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.