| Mrs Jennifer Michelle Manning, OTR/L, CHT | |
|
Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | |
| (505) 368-7089 | |
| (505) 368-7091 |
| Full Name | Mrs Jennifer Michelle Manning |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | Hwy 491 North, Shiprock, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609099290 | NPI | - | NPPES |
| 909430000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 103032 (Minnesota) | Primary |
| 225XH1200X | Occupational Therapist - Hand | 201311087 (Minnesota) | Secondary |
| Provider Name | Dhhs Phs Naihs Shiprock Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
| Provider Name | White Earth Indian Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093761710 PECOS PAC ID: 1658367925 Enrollment ID: O20040422000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Michelle Manning, OTR/L, CHT Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-7089 | Mrs Jennifer Michelle Manning, OTR/L, CHT Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 Ph: (505) 368-7089 |
David J Reis, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502 | |
Ethan Fahrney, Occupational Therapist Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Miss Robyn Alyce Nelson, O.T.R. L Occupational Therapist Medicare: Medicare Enrolled Practice Location: Us Hwy 64 Old High School Road, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502 | |
Rosette Mitexi Stabler, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431 | |
Sharraine Williams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5502 | |
Danielle R Atencio-archibeque, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Hwy 64 Old High School Rd, Shiprock, NM 87420 Phone: 505-368-5163 Fax: 505-368-5520 |