Individual provider · Type 1 NPI

Miranda Massey, OTR/L

Occupational Therapist · Plymouth, MN

NPI number 1417643164 Active

Practice location

14130 23rd Ave N
Plymouth, MN 55447

Call (763) 383-7666 Map

Fax (763) 383-6013

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200X107151 (MN)
Occupational Therapist Primary 225X00000X107151 (MN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1417643164

Miranda Massey, OTR/L's National Provider Identifier is 1417643164, issued on Apr 14, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Plymouth, MN. The record was last updated on Dec 6, 2023.