| Kelly C Easterling, OTR/L | |
|
900 Johnson St, Tallulah, LA 71282-4537 | |
| (318) 574-2374 | |
| Not Available |
| Full Name | Kelly C Easterling |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 900 Johnson St, Tallulah, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508437658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | Z12268 (Louisiana) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154852382 PECOS PAC ID: 6507832573 Enrollment ID: O20231004003036 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly C Easterling, OTR/L 646 Oak St, Mandeville, LA 70448-5143 Ph: (985) 966-1223 | Kelly C Easterling, OTR/L 900 Johnson St, Tallulah, LA 71282-4537 Ph: (318) 574-2374 |
Healthpro Heritage Rehab & Fitness, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Johnson St, Tallulah, LA 71282 Phone: 615-406-3997 | |
Cheryl Fisher Lewis, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1201 La Salle St, Tallulah, LA 71282 Phone: 318-235-6783 | |
Therapy Corner, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1201 La Salle St, Tallulah, LA 71282 Phone: 318-235-6783 |