| Marissa Nicole Visse, | |
|
100 Carmel Manor Dr, Fort Thomas, KY 41075-2300 | |
| (859) 781-5111 | |
| Not Available |
| Full Name | Marissa Nicole Visse |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 100 Carmel Manor Dr, Fort Thomas, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023658721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 260002 (Kentucky) | Primary |
| Provider Name | Gms Therapy And Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1619634771 PECOS PAC ID: 0042603870 Enrollment ID: O20220131001408 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Nicole Visse, 891 Kenton Station Rd, Alexandria, KY 41001-8042 Ph: (859) 240-0899 | Marissa Nicole Visse, 100 Carmel Manor Dr, Fort Thomas, KY 41075-2300 Ph: (859) 781-5111 |
Mackenzie Farmer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 654 Highland Ave Ste 17, Fort Thomas, KY 41075 Phone: 859-441-0139 | |
Miss Mindy Lynn Ortlieb, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-572-3120 | |
Kristin Mardis, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Carmel Manor Dr, Fort Thomas, KY 41075 Phone: 859-781-5111 | |
Mrs. Valerie P Miller, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Southview Ave, Fort Thomas, KY 41075 Phone: 859-653-1762 | |
Courtney Schott, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Carmel Manor Dr, Fort Thomas, KY 41075 Phone: 419-206-7213 | |
Meredith Joan Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 N Fort Thomas Ave Ste 302, Fort Thomas, KY 41075 Phone: 859-441-0139 |