Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MITZI MICHELLE CLEARY, OTD, OTR/L
Active Sole ProprietorMRS. MITZI MICHELLE CLEARY, OTD, OTR/L is a Occupational Therapist healthcare provider located in COUNTRY CLUB, Missouri. NPI 1407951791 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · COUNTRY CLUB, MO
Registration Details
- NPI Number
- 1407951791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2006 (19.735636809059 yrs)
- Last Updated
- Dec 7, 2010
- Licenses
-
2003000911 (MO)17-02329 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18939 EVERGREEN DRCOUNTRY CLUB, MO, 645054058Browse MO providers · Browse ZIP 64505
- Phone
- 8162793020
- Fax
- 8162793094
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
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.