Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEISHA FORMANEK, COTA/L
ActiveKEISHA FORMANEK, COTA/L is a Occupational Therapy Assistant healthcare provider located in WEST UNION, Iowa. NPI 1073322103 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WEST UNION, IA
Registration Details
- NPI Number
- 1073322103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2025 (1.428310154471 yrs)
- Last Updated
- Jan 3, 2025
- License
-
080424 (IA)
Practice Information
- Address
-
112 JEFFERSON STWEST UNION, IA, 521751022Browse IA providers · Browse ZIP 52175
- Phone
- 5634223811
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in WEST UNION, IA
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY ANNE MOORE | C.O.T.A. | 1386859692 |
| ROCHELLE RENEE MUSTARD | COTA/L | 1427201086 |
| AUTUMNN PARMETER | — | 1689079667 |
| VICTORIA WATTS | COTA/L | 1124519699 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.