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Search › Iowa › Occupational Therapy Assistant

Keisha Formanek, COTA/L

NPI 1073322103 · on the registry since 2025

Practice

Address
112 Jefferson St
West Union, IA 52175
Phone
(563) 422-3811
Organisation at this address
Palmer Outpatient Pharmacy
Palmer Lutheran Health Center, Inc
Palmer Lutheran Health Center, Inc
Palmer Lutheran Health Center, Inc
Palmer Lutheran Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa