Provider Demographics
NPI:1033626650
Name:BELEW, MIKAYLA JANE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:JANE
Last Name:BELEW
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:MIKAYLA
Other - Middle Name:JANE
Other - Last Name:PFLIIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:180 PRIVATE ROAD 1724
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-1556
Mailing Address - Country:US
Mailing Address - Phone:701-460-0153
Mailing Address - Fax:
Practice Address - Street 1:1102 STADIUM DRIVE
Practice Address - Street 2:
Practice Address - City:GLEN ROSE
Practice Address - State:TX
Practice Address - Zip Code:76043
Practice Address - Country:US
Practice Address - Phone:254-898-3590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist