Provider Demographics
NPI:1902532211
Name:CREERY, RAMEY L (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:RAMEY
Middle Name:L
Last Name:CREERY
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:MRS
Other - First Name:RAMEY
Other - Middle Name:L
Other - Last Name:CREERY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:401 EMERY DR
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-1324
Mailing Address - Country:US
Mailing Address - Phone:156-338-0726
Mailing Address - Fax:
Practice Address - Street 1:2160 LOGAN AVE STE C
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1006
Practice Address - Country:US
Practice Address - Phone:319-226-8430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA087528225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist