Healthcare Provider Details

I. General information

NPI: 1760308712
Provider Name (Legal Business Name): CADEN MILLER COTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E HIGHWAY 60
MONETT MO
65708-9376
US

IV. Provider business mailing address

7614 MAPLE DR
NEOSHO MO
64850-8277
US

V. Phone/Fax

Practice location:
  • Phone: 417-235-7895
  • Fax:
Mailing address:
  • Phone: 417-499-6324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number2025025559
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: