Ricardo Prado
Individual provider Active NPI Occupational Therapist · Rawlins, WY
NPI 1679902845 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1679902845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR-1037 (WY)
- Practice address
- 542 16TH St
Rawlins, WY 82301-5241 - Phone
- (307) 324-2759
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR-1037 | WY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR-1037 | WY | Yes |
Addresses
Primary practice location
542 16TH St
Rawlins, WY 82301-5241
Mailing address
5001 Statesman Dr
Irving, TX 75063-2414
Other providers in Rawlins, WY
- Linda Perry
- Martin Peterson
- Marisa Phillips
- Daniel Aaron Pont
- George Henry Postlethwaite
- Praxis Wellness
- Premium Health at Home Rawlins LLC
- Professional Oxygen Supply Inc.
- Professional Oxygen Supply Inc.
- Professional Pharmacy Inc
All providers in Rawlins, WY · Occupational Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2013. 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.