Haley Alane Dietrick, OTR/L
Individual provider Active NPI Occupational Therapist · Waverly, IA
NPI 1366043481 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1366043481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 099828 (IA)
- Practice address
- 217 E Bremer Ave
Waverly, IA 50677-3435 - Phone
- (319) 352-1234
- NPI assigned
- Nov 4, 2020
- 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 |
|---|---|---|---|
| 099828 | IA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 099828 | IA | Yes |
Addresses
Primary practice location
217 E Bremer Ave
Waverly, IA 50677-3435
Mailing address
10418 Jubilee Rd
La Porte City, IA 50651-2059
Phone (319) 240-2868
Other providers in Waverly, IA
- Dean H. Sheller D.D.S., PC
- Samuel Richard James Deboer
- Kaygen Kay Deitrick
- Denise Kay Dermody
- John Scott Dickinson
- Amanda S Dixon
- Casey Doyle
- Michele Doyle
- Mandi Jo Drees
- Suzanne Dripps
All providers in Waverly, IA · Occupational Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2020. 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.