Stefanie Mattson
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Saint Ignace, MI
NPI 1356845663 · NPPES record last updated Mar 21, 2018
Key facts
- NPI
- 1356845663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- License
- 5201006338 (MI)
- Practice address
- 1140 N State St
Saint Ignace, MI 49781-1048 - Phone
- (906) 643-0450
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201006338 | MI | MD | Physical Rehabilitation Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist |
225XP0019X | 5201006338 | MI | Yes |
Addresses
Primary practice location
1140 N State St
Saint Ignace, MI 49781-1048
Mailing address
1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-0450
Other providers in Saint Ignace, MI
- Mackinac Straits Hospital Authority
- Jeff Madigan
- Justin Michael Mandosking
- Dorene Lois Mathews
- James John Mattson
- Karli May Maurer
- Mark W Mercer
- Michael W Johnson, MD, PC
- Krystal Lorraine Mittelsteadt
- Kathryn E Mizzi
All providers in Saint Ignace, MI · Physical Rehabilitation Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2018. 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.