Karly Krodell Waller, OTD, OTR/L is a
Occupational Therapist based in Swansea, South Carolina. Karly Krodell Waller is licensed to practice in South Carolina (license number 7542) and her current practice location is
259 River Ridge Way, Swansea, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(479) 445-2151.
NPI number for Karly Krodell Waller is 1063207629 and her current mailing address is 523 Byron Rd, Columbia, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063207629.
Healthcare Provider's Profile
Full Name | Karly Krodell Waller |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 259 River Ridge Way, Swansea, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063207629
- Provider Enumeration Date: 04/14/2025
- Last Update Date: 05/22/2025
Medical Identifiers
Medical identifiers for Karly Krodell Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063207629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 7542 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karly Krodell Waller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Karly Krodell Waller, OTD, OTR/L 523 Byron Rd, Columbia, SC 29209-2001 Ph: (479) 445-2151 | Karly Krodell Waller, OTD, OTR/L 259 River Ridge Way, Swansea, SC 29160-8287 Ph: (479) 445-2151 |
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