IndividualActive
Melissa Brackle
NPI 1780075853 · Occupational Therapy Assistant · Wilsonville, OR
Provider details
- NPI number
- 1780075853
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 771 (NE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone: (913) 961-8451
Approximate (ZIP-level) locationGet directions
Mailing address
1430 Watson St
Fremont, NE 68025-2084
Registry dates
- Enumerated
- 2015-02-11
- Last updated
- 2015-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.