Provider Demographics
NPI:1669364071
Name:NOBLES, MACIAH (OTD)
Entity type:Individual
Prefix:
First Name:MACIAH
Middle Name:
Last Name:NOBLES
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 PARK DR
Mailing Address - Street 2:
Mailing Address - City:LARCHWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51241-7610
Mailing Address - Country:US
Mailing Address - Phone:507-215-3997
Mailing Address - Fax:
Practice Address - Street 1:131 N POPLAR AVE
Practice Address - Street 2:
Practice Address - City:TEA
Practice Address - State:SD
Practice Address - Zip Code:57064-2152
Practice Address - Country:US
Practice Address - Phone:605-498-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist