Mary Hulsey, OT

Individual provider Active NPI Occupational Therapist · Sullivan, MO

NPI 1467804161 · NPPES record last updated Jul 6, 2016

Key facts

NPI
1467804161
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2012041098 (MO)
Practice address
126 W Springfield Rd
Sullivan, MO 63080-1524
Phone
(573) 468-4900
Fax
(573) 468-4901
NPI assigned
Jul 6, 2016
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2012041098 MO Yes

Addresses

Primary practice location

126 W Springfield Rd
Sullivan, MO 63080-1524

Mailing address

PO Box 67
Sullivan, MO 63080-0067
Phone (314) 606-4485

Other names

  • Mary Miller Former name

Other providers in Sullivan, MO

All providers in Sullivan, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.