| Sensational Life Therapy, Llc | |
|
520 N Main St Ste 101, Cheboygan, MI 49721-1171 | |
| (231) 289-9689 | |
| (231) 525-3176 |
| Full Name | Sensational Life Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 520 N Main St Ste 101, Cheboygan, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144854316 | NPI | - | NPPES |
| 1457770869 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Tara Hendrix |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457770869 PECOS PAC ID: 2860823077 Enrollment ID: I20200502000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Sensational Life Therapy, Llc 520 N Main St Ste 101, Cheboygan, MI 49721-1171 Ph: (231) 289-9689 | Sensational Life Therapy, Llc 520 N Main St Ste 101, Cheboygan, MI 49721-1171 Ph: (231) 289-9689 |
Susan Dawn Suma, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9601 John Werner Dr, Cheboygan, MI 49721 Phone: 810-683-4612 | |
Lisa Gahn, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 824 S Huron St, Cheboygan, MI 49721 Phone: 231-627-4347 | |
Tara Hendrix, M.S, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 520 N Main St Ste 101, Cheboygan, MI 49721 Phone: 231-289-9689 Fax: 231-525-3176 | |
Theresa Blackman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 761 Lafayette Ave, Cheboygan, MI 49721 Phone: 800-342-7711 | |
Heather Berg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 824 S Huron St, Cheboygan, MI 49721 Phone: 231-627-4347 | |
Sadie Hutchison, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Main St Ste 106, Cheboygan, MI 49721 Phone: 231-289-9689 |