Mrs Kimberly D Tague, OTR is a
Occupational Therapist based in Kouts, Indiana. Mrs Kimberly D Tague is licensed to practice in Indiana (license number 31003648A) and her current practice location is
980 S 150 W, Kouts, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 766-0781.
NPI number for Mrs Kimberly D Tague is 1477722882 and her current mailing address is 980 S 150 W, Kouts, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477722882.
Healthcare Provider's Profile
| Full Name | Mrs Kimberly D Tague |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 980 S 150 W, Kouts, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477722882
- Provider Enumeration Date: 02/29/2008
- Last Update Date: 02/29/2008
Medical Identifiers
Medical identifiers for Mrs Kimberly D Tague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477722882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | 31003648A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly D Tague is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Kimberly D Tague, OTR 980 S 150 W, Kouts, IN 46347-9789 Ph: (219) 766-0781 | Mrs Kimberly D Tague, OTR 980 S 150 W, Kouts, IN 46347-9789 Ph: (219) 766-0781 |
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