Holly Davis Baker, COTA
Individual provider Active NPI Occupational Therapy Assistant · Thayer, MO
NPI 1659888451 · NPPES record last updated Jan 3, 2018
Key facts
- NPI
- 1659888451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2017003081 (MO)
- Practice address
- 709 Hwy 19
Thayer, MO 65791 - Phone
- (417) 264-7256
- NPI assigned
- Jan 3, 2018
- 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 |
|---|---|---|---|
| 2017003081 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2017003081 | MO | Yes |
Addresses
Primary practice location
709 Hwy 19
Thayer, MO 65791
Mailing address
709 Hwy 19
Thayer, MO 65791
Phone (417) 264-7256
Other providers in Thayer, MO
- Active Chiropractic & Acupuncture, LLC
- Allen Supported Living
- Janet Allen
- Brianna Alligood
- Susan M Bass
- Cambridge Adult Day Center-Thayer LLC
- Tyler Davis
- Diversified Consulting and Therapy Services PLLC
- Jacob Carl Eckman
All providers in Thayer, 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 Jan 3, 2018. 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.