Caudle, Micah

Caudle, Micah is an individual health care provider with primary practice located at 1223 Willow Creed Rd , Prescott AZ 86301-1427. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Caudle, Micah can be contacted via phone (928) 777-9950.

Contact Information

Primary practice address
1223 Willow Creed Rd Prescott AZ 86301-1427
Phone: (928) 777-9950
Fax: (928) 777-9975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5674 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 14-0450 Nevada

Profile Details

NPI number 1366866295
LBN Legal business name Caudle, Micah
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2014
Last updated Aug 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366866295 NPPES
Arizona MEDICAID 083794

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