Provider Demographics
NPI:1366735680
Name:BEHM, CHRISTEN MICHELLE (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:MICHELLE
Last Name:BEHM
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2858 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52804-1512
Mailing Address - Country:US
Mailing Address - Phone:563-650-9509
Mailing Address - Fax:
Practice Address - Street 1:2109 CEDARWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-2670
Practice Address - Country:US
Practice Address - Phone:563-263-0557
Practice Address - Fax:563-263-0560
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.007612225X00000X
IA001847225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist