| Shelby Elizabeth Larsh, | |
|
1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143-8558 | |
| (317) 528-2018 | |
| (317) 528-2907 |
| Full Name | Shelby Elizabeth Larsh |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1703 W Stones Crossing Rd Ste 120, Greenwood, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619377470 | NPI | - | NPPES |
| 300024970 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 31006710A (Indiana) | Primary |
| Provider Name | Franciscan Physician Network |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Elizabeth Larsh, Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Shelby Elizabeth Larsh, 1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143-8558 Ph: (317) 528-2018 |
Mrs. Keisha N Creager, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Westridge Blvd, Greenwood, IN 46142 Phone: 317-888-4948 Fax: 317-885-1940 | |
Laura Mackenzie Aust, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Library Blvd Ste A, Greenwood, IN 46142 Phone: 317-881-9923 | |
Mrs. Molly Holt, MSOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2339 South Sr 135, Greenwood, IN 46143 Phone: 317-215-7228 | |
Myranda Phillips, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1703 W Stones Crossing Rd Ste 120, Greenwood, IN 46143 Phone: 317-528-2018 Fax: 317-528-2907 | |
Dominic Joseph Toscano, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3177 Meridian Parke Dr, Greenwood, IN 46142 Phone: 317-882-5455 | |
Miss Megan Painter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 Library Blvd, Suite A, Greenwood, IN 46142 Phone: 317-881-9923 | |
Nicole R Diekhoff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5412 Culver Ln, Greenwood, IN 46142 Phone: 317-887-1891 |