Misty Dace

Occupational Therapy Assistant · Marshall, MO

Individual Active NPI

NPI number 1407102494

Practice location

1076 S English Ave
Marshall, MO 65340-2614
Phone
(660) 815-2463

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NPI record

NPI
1407102494
Entity type
Individual (Type 1)
Enumeration date
July 27, 2012
Last updated
July 27, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 2012004322 MO

About Misty Dace

Misty Dace is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 1076 S English Ave, Marshall, MO 65340-2614. The NPI number 1407102494 was assigned on July 27, 2012 and the record was last updated on July 27, 2012.

Misty Dace lists a license in the registry: #2012004322 (MO) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Misty Dace?

The NPI number is 1407102494.

What is the phone number of Misty Dace?

The phone number listed for the practice location is (660) 815-2463.

Where is Misty Dace located?

1076 S English Ave, Marshall, MO 65340-2614.

What is the taxonomy code for Misty Dace?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.