Mikala Lin Byers, MSOT, OTR/L
Individual provider Active NPI Occupational Therapist · Fort Mohave, AZ
NPI 1780428110 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1780428110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTH-009649 (AZ)
- Practice address
- 5330 S Highway 95
Fort Mohave, AZ 86426-9225 - Phone
- (928) 788-2273
- NPI assigned
- Jun 20, 2024
- 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 |
|---|---|---|---|
| OTH-009649 | AZ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | |||
| Occupational Therapist | 225X00000X | OTH-009649 | AZ | Yes |
Addresses
Primary practice location
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Mailing address
445 Elk Lake Resort Rd Lot 48
Owenton, KY 40359-9164
Phone (859) 609-5261
Other providers in Fort Mohave, AZ
- Clifford J Bragg
- Melissa Jones Brewer Larson
- Deanna Brocard
- Hector Burgara Jr.
- Kelly T. Buth
- Dilyara Cannon
- Capstone Medical Arizona, LLC
- Lisa Jane Carpenter
- Mary E. Carter
- Nicole Eileen Cash
All providers in Fort Mohave, AZ · Occupational Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 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.