Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breanna Wiles

Individual provider Occupational Therapy Assistant · NPI 1528831690

Breanna Wiles is an Occupational Therapy Assistant in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2023
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Practice location Address checks out

1531 E Bradford Pkwy Ste 210-4
Springfield, MO 65804-6539
Phone: (417) 881-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2022006219 (MO)

Record details

NPI number1528831690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2023
Last updated in NPPESNovember 1, 2023
Certification dateOctober 31, 2023

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