Healthcare Provider Details

I. General information

NPI: 1437006004
Provider Name (Legal Business Name): MACEY ADLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 WALNUT ST
EVANSVILLE IN
47713-1850
US

IV. Provider business mailing address

9200 SCHMITT RD
HAUBSTADT IN
47639-9284
US

V. Phone/Fax

Practice location:
  • Phone: 812-435-8453
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31008969A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: