Provider Demographics
NPI:1518229251
Name:MILLSAP, MORGAN RASHEL (COTA)
Entity Type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:RASHEL
Last Name:MILLSAP
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 HIGHWAY TT
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-1410
Mailing Address - Country:US
Mailing Address - Phone:660-851-5646
Mailing Address - Fax:
Practice Address - Street 1:2800 HIGHWAY TT
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-1410
Practice Address - Country:US
Practice Address - Phone:660-851-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011001551224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant