| Kelsey Bush, OTR/L | |
|
238 Green Valley Rd, Lebanon, VA 24266-6161 | |
| (276) 591-9922 | |
| Not Available |
| Full Name | Kelsey Bush |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 238 Green Valley Rd, Lebanon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063945699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119007312 (Virginia) | Primary |
| Provider Name | The Play Hut Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235736547 PECOS PAC ID: 3577975085 Enrollment ID: O20201207001722 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Bush, OTR/L 238 Green Valley Rd, Lebanon, VA 24266-6161 Ph: (276) 591-9922 | Kelsey Bush, OTR/L 238 Green Valley Rd, Lebanon, VA 24266-6161 Ph: (276) 591-9922 |
The Play Hut Pllc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 635 W Main St, Lebanon, VA 24266 Phone: 276-591-9922 | |
Shelly Tincher, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2023 Cross Rds, Lebanon, VA 24266 Phone: 276-971-3274 | |
Kaitlyn Dawn Jenkins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 W Main St, Lebanon, VA 24266 Phone: 276-415-9880 | |
Audra Horton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 W Main St, Lebanon, VA 24266 Phone: 276-415-9880 Fax: 276-208-9045 |