Individual provider · Type 1 NPI

Stacy Waters, COTA/L

Occupational Therapy Assistant · Dodge City, KS

NPI number 1558730564 Active

Practice location

200 Campus Dr
Dodge City, KS 67801-2760

Fax (620) 408-9058

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X18-01135 (KS)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1558730564

Stacy Waters, COTA/L's National Provider Identifier is 1558730564, issued on Sep 20, 2015. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Dodge City, KS. The record was last updated on Sep 20, 2015.