Michelle Lynn Swyers, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Vienna, MO
NPI 1336484716 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1336484716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2011006718 (MO)
- Practice address
- 174 Ballpark Rd
Vienna, MO 65582-8043 - Phone
- (573) 422-3177
- NPI assigned
- Dec 11, 2012
- 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 |
|---|---|---|---|
| 2011006718 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2011006718 | MO | Yes |
Addresses
Primary practice location
174 Ballpark Rd
Vienna, MO 65582-8043
Mailing address
767 Highway M
Steelville, MO 65565-5019
Phone (573) 775-5639
Other providers in Vienna, MO
- Medley Pharmacy Inc.
- Pcrmc Medical Group, Inc
- Abbi Plummer
- Cortney Powell
- Quick Development Inc
- Venus Independent Living LLC
- Vienna Family Practice LLC
- Vienna Family Practice LLC
- Vienna Health Care
- Vienna Nursing & Rehab LLC
All providers in Vienna, 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 Dec 11, 2012. 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.