| Michael David Booker, OTR/L | |
|
418 Spring Park Ln, Fayetteville, AR 72703-9786 | |
| (479) 466-3083 | |
| Not Available |
| Full Name | Michael David Booker |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 418 Spring Park Ln, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326614355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1090 (Arkansas) | Primary |
| Provider Name | Rogue Therapy Professionals Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720607443 PECOS PAC ID: 8426470063 Enrollment ID: O20200626001877 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael David Booker, OTR/L Po Box 237, Goshen, AR 72735-0237 Ph: (147) 946-6308 | Michael David Booker, OTR/L 418 Spring Park Ln, Fayetteville, AR 72703-9786 Ph: (479) 466-3083 |
Mrs. Chelsea Morehead, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 474 N Coral Canyon Loop Apt 417, Fayetteville, AR 72704 Phone: 501-454-6588 | |
Kelly Langham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Mrs. Morgan Makayla Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703 Phone: 479-521-7337 Fax: 479-521-7338 | |
Mishael Farrand, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3801 Johnson Mill Blvd Ste B, Fayetteville, AR 72704 Phone: 479-856-6400 Fax: 479-856-6623 | |
Sarah Reed, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3317 N Wimberly Dr Fl 2, Fayetteville, AR 72703 Phone: 479-587-3117 Fax: 479-587-3185 | |
Christopher Blaine Trout, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-521-8326 | |
Devin Alexandra Horan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Bulldog Blvd, Fayetteville, AR 72701 Phone: 479-444-3000 Fax: 479-973-8660 |