Christina Whatley

Individual provider Active NPI Occupational Therapist · Eureka, MO

NPI 1700057734 · NPPES record last updated Jan 7, 2016

Key facts

NPI
1700057734
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2007018543 (MO)
Practice address
936 Emerald Oaks CT
Eureka, MO 63025-2371
Phone
(636) 368-6363
NPI assigned
Mar 18, 2008
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
2007018543MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2007018543 MO Yes

Addresses

Primary practice location

936 Emerald Oaks CT
Eureka, MO 63025-2371

Mailing address

936 Emerald Oaks CT
Eureka, MO 63025-2371
Phone (636) 368-6363

Other providers in Eureka, MO

All providers in Eureka, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.