Makenzie Jo Pollard, OTR/L

Individual provider Active NPI Occupational Therapist · Covington, IN

NPI 1639709694 · NPPES record last updated Jan 18, 2020

Key facts

NPI
1639709694
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
31007070A (IN)
Practice address
423 4TH St
Covington, IN 47932-1126
Phone
(765) 231-3180
NPI assigned
Jan 18, 2020
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
31007070AINMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: mpollard@wrssc.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31007070A IN Yes

Addresses

Primary practice location

423 4TH St
Covington, IN 47932-1126

Mailing address

338 E Rosedale Rd
Rosedale, IN 47874-7200

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Mpollard@wrssc.org Direct

Other providers in Covington, IN

All providers in Covington, IN · Occupational Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.