| Kelly Ann Suttle, OTR/L | |
|
110 Coal Creek Dr, Boiling Springs, SC 29316-7008 | |
| (727) 858-7452 | |
| Not Available |
| Full Name | Kelly Ann Suttle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 110 Coal Creek Dr, Boiling Springs, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215321740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2957 (South Carolina) | Primary |
| Provider Name | Senior Rehab Source |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1043464118 PECOS PAC ID: 0941363808 Enrollment ID: O20090120000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Suttle, OTR/L 110 Coal Creek Dr, Boiling Springs, SC 29316-7008 Ph: (727) 858-7452 | Kelly Ann Suttle, OTR/L 110 Coal Creek Dr, Boiling Springs, SC 29316-7008 Ph: (727) 858-7452 |
Empowerme Wellness Kansas City, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Wesley Ct, Boiling Springs, SC 29316 Phone: 844-502-7996 | |
Mariah Fuimaono, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 632 Turning Leaf Cir, Boiling Springs, SC 29316 Phone: 816-797-8354 | |
Mrs. Courtney Johnson Rhodes, MHS, OTR/L, C/NDT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 905 Winslow Ct, Boiling Springs, SC 29316 Phone: 864-804-7959 Fax: 864-578-6220 |