Micah J Davids

Individual provider Active NPI Occupational Therapist · Albany, MN

NPI 1992085245 · NPPES record last updated Dec 10, 2024

Key facts

NPI
1992085245
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
105887 (MN)
Practice address
230 Church Ave
Albany, MN 56307-9489
Phone
(320) 845-2195
NPI assigned
Aug 18, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
105887MNMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105887 MN Yes

Addresses

Primary practice location

230 Church Ave
Albany, MN 56307-9489

Mailing address

230 Church Ave
Albany, MN 56307-9489
Phone (320) 845-2195

Other providers in Albany, MN

All providers in Albany, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.