Kristen Lee Thomas, OTRL
Individual provider Active NPI Occupational Therapist · Mayville, MI
NPI 1588060495 · NPPES record last updated Nov 19, 2014
Key facts
- NPI
- 1588060495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201008640 (MI)
- Practice address
- 521 W Ohmer Rd
Mayville, MI 48744-8612 - Phone
- (989) 843-6185
- NPI assigned
- Nov 5, 2014
- 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 |
|---|---|---|---|
| 5201008640 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008640 | MI | Yes |
Addresses
Primary practice location
521 W Ohmer Rd
Mayville, MI 48744-8612
Mailing address
705 Olivia Dr
Davison, MI 48423-1248
Phone (810) 625-1485
Other names
- Kristen Lee Terbrack
Other providers in Mayville, MI
- Lori Rowden
- Megan Elizabeth Rule
- Galen David Smith
- Tartan Health Care Corp.
- The Fowler Center
- Margarete Thomas
All providers in Mayville, 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 Nov 19, 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.