| Impact Rehabilitation And Wellness | |
|
813 E 6th St Ste 300, Okmulgee, OK 74447-4701 | |
| (918) 756-3330 | |
| (918) 756-3332 |
| Full Name | Impact Rehabilitation And Wellness |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 813 E 6th St Ste 300, Okmulgee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972097657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Oklahoma) | Primary |
| Provider Name | Kristine G Siegenthaler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992771703 PECOS PAC ID: 1456357029 Enrollment ID: I20061005000174 |
| Provider Name | L Michael Siegenthaler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801861711 PECOS PAC ID: 3173420171 Enrollment ID: I20061113000177 |
| Provider Name | Kelly E Bailey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588117212 PECOS PAC ID: 9335529379 Enrollment ID: I20220707002677 |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Rehabilitation And Wellness 813 E 6th St Ste 300, Okmulgee, OK 74447-4701 Ph: (918) 756-3330 | Impact Rehabilitation And Wellness 813 E 6th St Ste 300, Okmulgee, OK 74447-4701 Ph: (918) 756-3330 |
Paul Hailes, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Airport Road, Okmulgee, OK 74447 Phone: 918-756-9211 Fax: 918-756-9452 | |
Tyler Ray Wilson, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 E Airport Rd, Okmulgee, OK 74447 Phone: 918-260-4613 | |
Kristine Grunewald Siegenthaler, OTRL/CHT/CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 114 W 7th St, Okmulgee, OK 74447 Phone: 918-756-3330 Fax: 918-756-3332 |