MEDICARE: NIKKI JEAN ARENTSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	075729	IA

General Provider Information

NPI Number	:	1891251872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI JEAN ARENTSON

Provider Business Mailing Address
First Line	:	4725 MERLE HAY RD STE 107
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50322-1983
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 S 7TH ST
Second Line	:
City	:	FOREST CITY
State	:	IA
Zip	:	50436-2032
Country	:	US
Telephone Number	:	641-585-2232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2019
Last Update Date	:	02/14/2019

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Directions to “ NIKKI JEAN ARENTSON ” Practice Location

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