Individual
AUDRIE HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
1103 S CEDAR ST, MASON, MI 48854-2081
(517) 244-7787
Mailing address
7114 CUESTA WAY DR NE, ROCKFORD, MI 49341-9493
(616) 560-7165
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201013780
MI
225X00000X
Occupational Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
07/31/2020
Last updated
02/10/2026
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