Stacey Anne Hodges, OTRL
Individual provider Active NPI Occupational Therapist · Vinton, IA
NPI 1962549030 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962549030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 01036 (IA)
- Practice address
- 502 N 9TH Ave
Vinton, IA 52349-2254 - Phone
- (319) 472-6372
- Fax
- (319) 472-6222
- NPI assigned
- Jan 30, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01036 | IA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 01036 | IA | Yes |
Addresses
Primary practice location
502 N 9TH Ave
Vinton, IA 52349-2254
Mailing address
502 N 9TH Ave
Vinton, IA 52349-2254
Phone (319) 472-6372
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36297 | Other | IA | WELLMARK BLUE CROSS |
Other providers in Vinton, IA
- Julie Ann Haefner
- Douglas William Hanneman
- Megan Lynn Herrmann
- Amy Lee Herwehe
- Sierra Elaine Higgins
- Jennifer L Hoeger
- Horst Physical Therapy P C
- Patrick Jessen Horst
- Elisha Marie Howe
- Danette Lynn Hromidko
All providers in Vinton, IA · Occupational Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.