Madison Renee Davis, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Desloge, MO
NPI 1669296463 · NPPES record last updated Nov 9, 2024
Key facts
- NPI
- 1669296463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 801 Brim St
Desloge, MO 63601-3441 - Phone
- (573) 431-0223
- NPI assigned
- Nov 9, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
801 Brim St
Desloge, MO 63601-3441
Mailing address
801 Brim St
Desloge, MO 63601-3441
Phone (573) 431-0223
Other providers in Desloge, MO
- Jamie Marie Conway
- Melinda Lee Cromer
- Julia Faith Culbertson
- Mary Ann Araneta Cusi
- Daleco, Inc.
- Desloge Chiropractic Health Center, LLC
- Desloge Vision Center Inc
- Brett Dickinson
- Hannah Jean Mendez Dominguez
- Tessa Dunivan
All providers in Desloge, 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 Nov 9, 2024. 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.