Ashley Marie Householter
Individual provider Active NPI Occupational Therapy Assistant · Metamora, IL
NPI 1376356808 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1376356808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 1200 E Partridge St
Metamora, IL 61548-9628 - Phone
- (309) 367-4300
- NPI assigned
- Jan 29, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
1200 E Partridge St
Metamora, IL 61548-9628
Mailing address
1545 Church Rd
Eureka, IL 61530-9443
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- Brianna Lee Jochman
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All providers in Metamora, IL · Occupational Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. 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.