Michelle Outwater, OTR
Individual provider Active NPI Occupational Therapist · Ontonagon, MI
NPI 1386055044 · NPPES record last updated May 15, 2014
Key facts
- NPI
- 1386055044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201002667 (MI)
- Practice address
- 114 Pennsylvania Ave
Apt 1
Ontonagon, MI 49953-1300 - Phone
- (269) 569-0402
- NPI assigned
- May 15, 2014
- 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 |
|---|---|---|---|
| 5201002667 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201002667 | MI | Yes |
Addresses
Primary practice location
114 Pennsylvania Ave
Apt 1
Ontonagon, MI 49953-1300
Mailing address
114 Pennsylvania Ave
Apt 1
Ontonagon, MI 49953-1300
Other providers in Ontonagon, MI
- Suzanne J Miron
- Northern Wisconsin Bone & Joint
- Rachel Marie Nowicki
- Jacek Olszewski
- Ontonagon Community Health Center
- Brittany Ann Penegor
- Robert J. Johnson, D.D.S., P.C.
- Stephanie Schultz
- Jennifer Steinecke
- Steven N Gervae MD PC
All providers in Ontonagon, MI · 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 May 15, 2014. 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.