# THER-ACHIEVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952524761
- **Authorized official:** RANDA JO BRAUNAGEL OTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (765) 525-7269

## Contact information

- **Practice address:** 5755 E STATE ROAD 244, SHELBYVILLE, IN 46176-8817
- **Practice address phone:** (765) 525-7269
- **Mailing address:** 5755 E STATE ROAD 244, SHELBYVILLE, IN 46176-8817
- **Mailing address phone:** (765) 525-7269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31000175A | IN | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020
