Stacy Bommelje, COTA/L

NPI 1437579646 · on the registry since 2014

Practice

Address: 731 Starkweather Dr
Lansing, MI 48917
Phone: (517) 323-9133
Fax: (517) 323-0092
Organisation at this address: Lansing Opco, Llc
Tendercare (Michigan) Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-04-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan