Amanda Kay Babcock, OTR

Individual provider Active NPI Occupational Therapist · Waverly, IA

NPI 1629625975 · NPPES record last updated Aug 21, 2019

Key facts

NPI
1629625975
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
01296 (IA)
Practice address
217 E Bremer Ave
Waverly, IA 50677-3435
Phone
(319) 352-4544
Fax
(319) 352-4655
NPI assigned
Aug 21, 2019
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

LicenseStateTypeSpecialty
01296IAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 01296 IA Yes

Addresses

Primary practice location

217 E Bremer Ave
Waverly, IA 50677-3435

Mailing address

217 E Bremer Ave
Waverly, IA 50677-3435
Phone (319) 352-4544

Other names

  • Amanda Kay Russman Former name

Other providers in Waverly, IA

All providers in Waverly, IA · Occupational Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.