| Kelli Noland, OT | |
|
195 Summer Lane Dr, Columbus, MS 39702-9703 | |
| (662) 549-5065 | |
| Not Available |
| Full Name | Kelli Noland |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 195 Summer Lane Dr, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568876779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2710 (Mississippi) | Primary |
| 225X00000X | Occupational Therapist | 3837 (Alabama) | Secondary |
| Provider Name | Houston Physical Therapy And Performance Center Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801566195 PECOS PAC ID: 5597162297 Enrollment ID: O20210923000152 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Noland, OT 195 Summer Lane Dr, Columbus, MS 39702-9703 Ph: () - | Kelli Noland, OT 195 Summer Lane Dr, Columbus, MS 39702-9703 Ph: (662) 549-5065 |
Wendy Allen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Dutch Ln, Columbus, MS 39702 Phone: 662-241-4545 Fax: 662-241-4025 | |
Lindsey Mccool Carter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Windsor Blvd, Columbus, MS 39702 Phone: 662-329-0050 | |
Mr. De'marco Hodges, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 Dutch Ln, Columbus, MS 39702 Phone: 662-241-4545 Fax: 662-241-4025 | |
Kayla Marie Young, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012 | |
Tabitha Rene Keen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 Airline Rd, Columbus, MS 39702 Phone: 662-327-9404 | |
Molly Kafader, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 81 Windsor Blvd, Columbus, MS 39702 Phone: 662-329-0050 | |
Daphne Nicole Coleman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2309 Bluecutt Rd Ste A, Columbus, MS 39705 Phone: 662-327-5557 Fax: 662-327-5834 |