| Staci Lynn Watts, | |
|
1915 Lohmans Crossing Rd, Lakeway, TX 78734-5274 | |
| (512) 261-7146 | |
| Not Available |
| Full Name | Staci Lynn Watts |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1915 Lohmans Crossing Rd, Lakeway, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245955467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 112119 (Texas) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Staci Lynn Watts, 131 Yarbrough Dr, Dripping Springs, TX 78620-2371 Ph: () - | Staci Lynn Watts, 1915 Lohmans Crossing Rd, Lakeway, TX 78734-5274 Ph: (512) 261-7146 |
Alexa Balagia, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-759-6438 | |
Katharine Rowland Grevera, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Eagle Cv, Lakeway, TX 78734 Phone: 512-520-6598 | |
Nicole Summers Booher, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Medical Parkway, Lakeway, TX 78738 Phone: 512-501-3488 | |
Aminah Khinnarath, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-263-4500 | |
Julie Marie Jackson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Bella Montagna Cir, Lakeway, TX 78734 Phone: 512-598-0714 | |
Wendy Cortes, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Bella Montagna Cir, Lakeway, TX 78734 Phone: 512-598-0714 | |
Irma Angelica Aguirre, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1917 Lohmans Crossing Rd, Lakeway, TX 78734 Phone: 512-261-3211 |