NPI 1003462565

Alexa Fornkohl

Practitioner Occupational Therapy Assistant Sikeston, MO

Practice location

Address: 300 Floyd Dr, Sikeston, MO 63801-3960
Phone: (573) 472-0397

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32003331A (IN)

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Registry record

NPI: 1003462565
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2019
Record last updated: 5 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.