| Kyra Poole, OTR/L | |
|
500 South St Unit 300, Vidor, TX 77662-6183 | |
| (254) 644-2423 | |
| Not Available |
| Full Name | Kyra Poole |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 500 South St Unit 300, Vidor, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972147486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Kids Therapy Set Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194073353 PECOS PAC ID: 7315363488 Enrollment ID: O20220324000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyra Poole, OTR/L 4900 Sanger Ave, Waco, TX 76710-5866 Ph: (254) 848-6284 | Kyra Poole, OTR/L 500 South St Unit 300, Vidor, TX 77662-6183 Ph: (254) 644-2423 |
Macy Chilton, Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 18635 Ih 10 Ste 500, Vidor, TX 77662 Phone: 409-498-4066 | |
Allisen Segerson, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 500 South Street, Ste. 500, Vidor, TX 77662 Phone: 254-640-0670 | |
Krista Marie Grasser, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 South St Ste 300, Vidor, TX 77662 Phone: 409-498-4066 | |
Eduardo Camilo Powell, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 905 Ohio St, Vidor, TX 77662 Phone: 713-805-4095 | |
Southeast Texas Pediatric Therapy, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 Flamingo St, Vidor, TX 77662 Phone: 254-644-2770 |