Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA KAY THEBEAU
Active Sole ProprietorBRENDA KAY THEBEAU is a Occupational Therapy Assistant healthcare provider located in LINN CREEK, Missouri. NPI 1225797129 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · LINN CREEK, MO
Registration Details
- NPI Number
- 1225797129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2021 (4.4999466167796 yrs)
- Last Updated
- Dec 8, 2021
- License
-
005389 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3761 E US HIGHWAY 54LINN CREEK, MO, 650521756Browse MO providers · Browse ZIP 65052
- Phone
- 3148082955
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.