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

Bethany Makayla Lady Wines, OT/L

Individual provider Occupational Therapist · NPI 1033864830

Bethany Makayla Lady Wines, OT/L is an Occupational Therapist in Mooresville, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

134 Infield Ct
Mooresville, NC 28117-8026
Phone: (704) 799-6824
Fax: (704) 799-6825
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 129 N Tradd St, Statesville, NC 28677-5239 — (704) 380-0799

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 14742 (NC)

Record details

NPI number1033864830
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT/L
Sole proprietorYes
NPI enumeratedFebruary 21, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

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