| Katherine Rose Liles, OT | |
|
1004 Edgewater Dr, Albany, GA 31707-3749 | |
| (229) 894-1353 | |
| Not Available |
| Full Name | Katherine Rose Liles |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1004 Edgewater Dr, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336300441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT004751 (Georgia) | Primary |
| Provider Name | Live To The Max Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003693870 PECOS PAC ID: 6002263217 Enrollment ID: O20231109002118 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Rose Liles, OT 206 Bridgewater Trl, Canton, GA 30115-4566 Ph: (229) 894-1353 | Katherine Rose Liles, OT 1004 Edgewater Dr, Albany, GA 31707-3749 Ph: (229) 894-1353 |
Mrs. Stacey Renee Sanders, MS OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2580 | |
Ms. Ranyouri Quanda Hines, MHS, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 713 Douglas Ave, Albany, GA 31701 Phone: 229-395-4735 | |
Mr. Eric S. Belusko, MHS, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 709a N Westover Blvd, Albany, GA 31707 Phone: 229-446-2333 Fax: 229-446-7733 | |
Patricia Justus, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-4411 Fax: 229-312-1221 | |
Donnie Lewis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 Pointe North Blvd, Albany, GA 31721 Phone: 229-883-4707 Fax: 229-435-1038 | |
Haley B Alexander, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2336 Dawson Rd Ste 100, Albany, GA 31707 Phone: 229-312-5800 | |
Jean M Gebhardt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 N Westover Blvd, Albany, GA 31707 Phone: 229-446-2333 |