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IndividualActive

Keisha Formanek

COTA/L

Occupational Therapy Assistant

NPI: 1073322103West Union, Iowa, 52175(563) 422-3811Female

About Keisha Formanek

Keisha Formanek, COTA/L, is a female healthcare professional specializing in Occupational Therapy Assistant, registered under National Provider Identifier (NPI) number 1073322103. Their primary practice is located at 112 JEFFERSON ST, West Union, Iowa 52175.

Patients can reach the office at (563) 422-3811. Keisha Formanek has been NPI-registered since 2025.

Doctor Details

Identity & Credentials

NPI Number
1073322103
Entity Type
Individual
First Name
Keisha
Last Name
Formanek
Credential
COTA/L
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
112 JEFFERSON ST
City
West Union
State
Iowa
ZIP
52175-1022
Country
United States
Phone
(563) 422-3811

Specialty & Taxonomy

Primary Specialty
Occupational Therapy Assistant
Classification
Occupational Therapy Assistant
Taxonomy Code
224Z00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
112 JEFFERSON ST
City
WEST UNION
State
IA
ZIP
521751022

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Keisha Formanek's NPI number?
Keisha Formanek's National Provider Identifier (NPI) is 1073322103. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Keisha Formanek specialize in?
Keisha Formanek specializes in Occupational Therapy Assistant.
Where is Keisha Formanek located?
Keisha Formanek practices at 112 JEFFERSON ST, West Union, Iowa 52175. You can reach them by phone at (563) 422-3811.
Does Keisha Formanek accept Medicare?
Based on available data, Keisha Formanek is not currently enrolled in the Medicare program.
Does Keisha Formanek offer telehealth or virtual visits?
Keisha Formanek does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Keisha Formanek is 1073322103.