| Laura Siddle, MOT/R, CLC | |
|
2150 W Randolph St, Saint Charles, MO 63301-0844 | |
| (636) 946-4966 | |
| Not Available |
| Full Name | Laura Siddle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapy |
| Experience | 10 Years |
| Location | 2150 W Randolph St, Saint Charles, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063162014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2014024526 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Missouri Llc | 9234402470 | 123 |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Siddle, MOT/R, CLC 3029 Country Knoll Dr, Saint Charles, MO 63303-6368 Ph: (636) 359-5540 | Laura Siddle, MOT/R, CLC 2150 W Randolph St, Saint Charles, MO 63301-0844 Ph: (636) 946-4966 |
Leica Marie Haire, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7001 S Highway 94, Saint Charles, MO 63304 Phone: 636-851-4700 | |
Amy Etter, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3330 Ehlmann Rd, Saint Charles, MO 63301 Phone: 877-407-3422 Fax: 877-407-4329 | |
Taylor M Macker, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1468 Norwood Dr, Saint Charles, MO 63303 Phone: 636-866-1341 | |
Morgan Williams, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3330 Ehlmann Rd, Saint Charles, MO 63301 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mckenzie Laine Struckhoff, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1552 Country Club Plaza Dr Unit 1570, Saint Charles, MO 63303 Phone: 636-724-1127 | |
Joan Risik, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3330 Ehlmann Rd, Saint Charles, MO 63301 Phone: 877-407-3422 Fax: 877-407-4329 |