Individual
NYKIE MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
731 STARKWEATHER DR, LANSING, MI 48917-1128
(517) 323-9133
(517) 323-0092
Mailing address
731 STARKWEATHER DR, LANSING, MI 48917-1128
(517) 323-9133
(517) 323-0092
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201003135
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201003135
OCCUPATIONAL THERAPY LICENSE
MI
Enumeration date
11/14/2013
Last updated
11/14/2013
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