Rachel Booth
Individual provider Active NPI Occupational Therapist · Davison, MI
NPI 1861963902 · NPPES record last updated Dec 16, 2018
Key facts
- NPI
- 1861963902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201009048 (MI)
- Practice address
- 1515 Cal Dr
Davison, MI 48423-9016 - Phone
- (517) 449-9984
- NPI assigned
- Dec 16, 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 |
|---|---|---|---|
| 5201009048 | MI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201009048 | MI | Yes |
Addresses
Primary practice location
1515 Cal Dr
Davison, MI 48423-9016
Mailing address
4335 Knollwood Dr
Grand Blanc, MI 48439-2028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N299853 | Medicaid | MI |
Other providers in Davison, MI
- Hannah Marie Blake
- Blue Sky Therapy Services, LLC
- Bluesky Rehabilitation Therapies
- Boanerges
- Christian Charles Bohlke
- Thomas L Bossi
- Michelle Bourassa
- Hannah Renee Bradway
- Christina Arlene Brady
- Jake Brejnak
All providers in Davison, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 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.