SearchMissouriOccupational Therapy Assistant

Amanda Russell

NPI 1982575924 · on the registry since 2025

Practice

Address
636 N Main Ave
Republic, MO 65738
Phone
(417) 732-3605
Clinicians at this address
5

Additional practice sites

  • 100 E Front St, Rogersville, MO

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-15

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 Missouri