Organization
ROOTED THERAPY SERVICES LLC
Active
Other names
Rooted Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MARIE BRIDGES OTR/L (OWNER)
(440) 479-7454
Entity
Organization
Contact information
Practice address
1070 E CEDAR TREE LN, HARTSBURG, MO 65039-9495
(440) 479-7454
Mailing address
1070 E CEDAR TREE LN, HARTSBURG, MO 65039-9495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016039132
PROFESSIONAL REGISTRATION
MO
Enumeration date
06/28/2023
Last updated
06/28/2023
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