Healthcare Provider Details

I. General information

NPI: 1558945717
Provider Name (Legal Business Name): RACHEL KRAMER MSOT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 DIXIE HWY STE 400
CLARKSTON MI
48346-5108
US

IV. Provider business mailing address

2775 E LANSING DR
EAST LANSING MI
48823-7755
US

V. Phone/Fax

Practice location:
  • Phone: 248-922-7099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201014113
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: