| Mikayla Rae Haukenfrers, MOT/R | |
|
21630 N 19th Ave, Phoenix, AZ 85027-2719 | |
| (602) 875-5616 | |
| Not Available |
| Full Name | Mikayla Rae Haukenfrers |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 21630 N 19th Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538916705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTH-009610 (Arizona) | Primary |
| Provider Name | Brentom Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023540531 PECOS PAC ID: 8224387816 Enrollment ID: O20180815000343 |
| Provider Name | Petkov Bodywork Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386271690 PECOS PAC ID: 8820428444 Enrollment ID: O20200423000321 |
| Provider Name | Firebird Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154168748 PECOS PAC ID: 2264964097 Enrollment ID: O20241017000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikayla Rae Haukenfrers, MOT/R 7638 W Artemisa Ave, Peoria, AZ 85383-1922 Ph: (480) 246-6281 | Mikayla Rae Haukenfrers, MOT/R 21630 N 19th Ave, Phoenix, AZ 85027-2719 Ph: (602) 875-5616 |
Rebecca Ebbert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7540 N 19th Ave, Phoenix, AZ 85021 Phone: 888-873-4221 Fax: 888-543-2289 | |
Kristina Nalder, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006 | |
Tabitha Macziewski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 E Shea Blvd, Suite 101, Phoenix, AZ 85028 Phone: 602-368-8601 Fax: 602-368-8605 | |
Christina Hyland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4641 N 12th St Ste 100, Phoenix, AZ 85014 Phone: 602-281-2896 | |
Kristel Ferrer, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5025 E Washington St Ste 108, Phoenix, AZ 85034 Phone: 602-313-8999 | |
Giovanna Martinez, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4125 N 14th St, Phoenix, AZ 85014 Phone: 602-882-5544 | |
Courtney Boyce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13201 S Wakial Loop Apt 1094, Phoenix, AZ 85044 Phone: 602-882-2345 |