Provider Demographics
NPI:1588317242
Name:MAUTI, ALANAH KATHRYN (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALANAH
Middle Name:KATHRYN
Last Name:MAUTI
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:ALANAH
Other - Middle Name:KATHRYN
Other - Last Name:BUSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/OTR/L
Mailing Address - Street 1:8 KIPLING ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-2512
Mailing Address - Country:US
Mailing Address - Phone:978-758-8249
Mailing Address - Fax:
Practice Address - Street 1:8 KIPLING ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-2512
Practice Address - Country:US
Practice Address - Phone:978-758-8249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12080225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist