IndividualActive
Lacey Rust, MS OTR/L
NPI 1447653910 · Pediatric Occupational Therapist · Fargo, ND
Provider details
- NPI number
- 1447653910
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 964 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-6669
Fax: (701) 234-7451
Approximate (ZIP-level) locationGet directions
Mailing address
801 Broadway N
Fargo, ND 58102-3641
Registry dates
- Enumerated
- 2014-09-29
- Last updated
- 2014-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.