Michelle L Anker, OTA
Individual provider Active NPI Occupational Therapy Assistant · Suring, WI
NPI 1972829620 · NPPES record last updated Apr 20, 2010
Key facts
- NPI
- 1972829620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1530-027 (WI)
- Practice address
- 430 Manor Dr
Suring, WI 54174-9182 - Phone
- (920) 842-2191
- NPI assigned
- Apr 20, 2010
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1530-027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1530-027 | WI | Yes |
Addresses
Primary practice location
430 Manor Dr
Suring, WI 54174-9182
Mailing address
5780 Berry Lake Rd
Gillett, WI 54124-9772
Phone (920) 855-2835
Other providers in Suring, WI
- Bay at Suring Health and Rehabilitation Center LLC
- Bay at Woodlands Home Health LLC
- Lori Ann Beaumier
- Bellin Memorial Hospital Inc
- Christine L Berndt
All providers in Suring, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2010. 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.