MEDICARE: REAGAN LEHENBAUER

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	2026028299	MO

General Provider Information

NPI Number	:	1528985561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REAGAN LEHENBAUER

Provider Business Mailing Address
First Line	:	1002 SLOAN AVE
Second Line	:
City	:	PALMYRA
State	:	MO
Zip	:	63461-1347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	188A MEDICAL DR
Second Line	:
City	:	HANNIBAL
State	:	MO
Zip	:	63401-6877
Country	:	US
Telephone Number	:	573-406-0576
Fax Number	:

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

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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Directions to “ REAGAN LEHENBAUER ” Practice Location

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