Meredith Nackley
Occupational Therapist - Pediatrics
26440 Berg Rd Unit 1006
Southfield
, Michigan 48033-5394
Meredith Nackley
Occupational Therapist - Pediatrics
26440 Berg Rd Unit 1006
Southfield
, Michigan 48033-5394
(315) 534-9747
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Meredith Nackley
- 26440 Berg Rd Unit 1006
- Southfield, MI
- Zip : 48033-5394
- Phone : (315) 534-9747
Second Address
- Meredith Nackley
- 26440 Berg Rd Unit 1006
- Southfield, MI
- Zip : 48033-5394
- Phone : (315) 534-9747
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 5201009134 | MI |
National Provider Identifier
| NPI | 1003296898 |
|---|---|
| Provider Name | Meredith Nackley |
| First Address | Southfield, MI 48033-5394 |
| Second Address | Southfield, MI 48033-5394 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5201009134 | STATE OF MICHIGAN (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.