Kristi Conway Caldwell

Individual provider Active NPI Occupational Therapist · Waverly, IA

NPI 1619629409 · NPPES record last updated Jan 22, 2022

Key facts

NPI
1619629409
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
00526 (IA)
Practice address
956 Cedar Lane Rd
Waverly, IA 50677-1755
Phone
(319) 415-6891
NPI assigned
Jan 22, 2022
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)
Yes

State licenses

LicenseStateTypeSpecialty
00526IAMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 00526 IA Yes

Addresses

Primary practice location

956 Cedar Lane Rd
Waverly, IA 50677-1755

Mailing address

956 Cedar Lane Rd
Waverly, IA 50677-1755
Phone (319) 415-6891

Other providers in Waverly, IA

All providers in Waverly, IA · Occupational Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.