Audrey Holtmeyer
Individual provider Active NPI Occupational Therapy Assistant · Vienna, MO
NPI 1487286183 · NPPES record last updated Feb 11, 2020
Key facts
- NPI
- 1487286183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2016003644 (MO)
- Practice address
- 174 Ballpark Rd
Vienna, MO 65582-8043 - Phone
- (573) 422-3177
- NPI assigned
- Feb 10, 2020
- 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 |
|---|---|---|---|
| 2016003644 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | 2016003644 | MO | Yes |
Addresses
Primary practice location
174 Ballpark Rd
Vienna, MO 65582-8043
Mailing address
452 Highway a
Iberia, MO 65486-8207
Phone (573) 645-8751
Other providers in Vienna, MO
- John Francis Barnhart
- Joseph William Barnhart
- Jennifer Renae Berhorst
- Bryan Anthony Davis
- Cynthia Louise Harris
- John F Barnhart, DDS, PC
- Joseph W Barnhart, DDS
- Maries Osage Ambulance District
- Maries R-1 School District
- Rachel Martin
All providers in Vienna, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 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.