Individual provider · NPI-1

Kimberly Mechelle Bagy, COTA/L

Occupational Therapy Assistant · Saint Louis, MO

NPI number1144815911
StatusActive
Last updated in NPPESMar 4, 2021

Details

NPI
1144815911
Entity type
Individual (NPI-1)
Name
Kimberly Mechelle Bagy
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2021
Certification date
Mar 4, 2021
Last updated
Mar 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant003308MOYes

Practice location

1 Jefferson Barracks Dr
Saint Louis, MO 63125-4181

Phone 314-652-4100

Mailing address

532 Hickory Mnr
Arnold, MO 63010-2797

Phone 314-440-8391

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapy Assistant providers in Saint Louis, MO