Rena Baxter, OTR

Individual provider Active NPI Occupational Therapist · Carson City, MI

NPI 1336705805 · NPPES record last updated May 10, 2019

Key facts

NPI
1336705805
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201003219 (MI)
Practice address
620 N 2ND St
Carson City, MI 48811-9790
Phone
(989) 584-6100
NPI assigned
May 10, 2019
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
5201003219MIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201003219 MI Yes

Addresses

Primary practice location

620 N 2ND St
Carson City, MI 48811-9790

Mailing address

8112 E Willard Rd
Crystal, MI 48818-9755
Phone (616) 225-4702

Other providers in Carson City, MI

All providers in Carson City, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.