Provider Demographics
NPI:1699269944
Name:MERZ, ALESHA (MOTR/L, CBIS, ITOT)
Entity type:Individual
Prefix:
First Name:ALESHA
Middle Name:
Last Name:MERZ
Suffix:
Gender:F
Credentials:MOTR/L, CBIS, ITOT
Other - Prefix:
Other - First Name:ALESHA
Other - Middle Name:
Other - Last Name:KADOLPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOTR/L, CBIS, ITOT
Mailing Address - Street 1:5406 MERLE HAY RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-1209
Mailing Address - Country:US
Mailing Address - Phone:515-727-8750
Mailing Address - Fax:515-727-8757
Practice Address - Street 1:5406 MERLE HAY RD
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1209
Practice Address - Country:US
Practice Address - Phone:515-727-8750
Practice Address - Fax:515-727-8757
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA092347225X00000X
IA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist