| Misty Mills, | |
|
701 Oak St Ste C, Graham, TX 76450-3073 | |
| (940) 549-0788 | |
| (940) 549-0022 |
| Full Name | Misty Mills |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 701 Oak St Ste C, Graham, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053876375 | NPI | - | NPPES |
| 110621 | Other | TX | OT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 110621 (Texas) | Primary |
| Provider Name | Lighthouse Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679047765 PECOS PAC ID: 7416281159 Enrollment ID: O20190628001547 |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Mills, 701 Oak St Ste C, Graham, TX 76450-3073 Ph: (940) 549-0788 | Misty Mills, 701 Oak St Ste C, Graham, TX 76450-3073 Ph: (940) 549-0788 |
Kelsie Berend, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Oak St Ste C, Graham, TX 76450 Phone: 940-549-0788 Fax: 940-549-0022 | |
Brady Plowman Gilmore, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 442 Oak St, Graham, TX 76450 Phone: 940-247-0402 Fax: 094-320-9540 | |
Lighthouse Therapy, Inc. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 701 Oak St Ste C, Graham, TX 76450 Phone: 940-549-0788 | |
Striding In Speech, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 442 Oak St, Graham, TX 76450 Phone: 940-247-0402 | |
Ms. Julie Denicia Erb, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 432 Oak St, Graham, TX 76450 Phone: 940-549-0788 Fax: 940-549-0788 |