Vivian Keenan, | |
2323 Us-71, Spirit Lake, IA 51360 | |
(712) 336-1230 | |
Not Available |
Full Name | Vivian Keenan |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2323 Us-71, Spirit Lake, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366268005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT.0008621 (Colorado) | Secondary |
225X00000X | Occupational Therapist | 131976 (Iowa) | Primary |
Provider Name | Katey Blehm M.a. Ccc-slp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457962417 PECOS PAC ID: 3476866880 Enrollment ID: O20160505000820 |
Mailing Address | Practice Location Address |
---|---|
Vivian Keenan, 230 Rim View Dr Apt 230-i, Colorado Springs, CO 80919-2347 Ph: () - | Vivian Keenan, 2323 Us-71, Spirit Lake, IA 51360 Ph: (712) 336-1230 |
Kayla Jo Benjamin, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Lakes Regional Healthcare, 2301 Hwy 71 S, Spirit Lake, IA 51360 Phone: 641-336-8651 | |
Amy Marlow, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1380 Lake St, Spirit Lake, IA 51360 Phone: 712-336-8404 Fax: 712-546-1770 | |
Dawn R Schulz, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3804 Stover Ave, Spirit Lake, IA 51360 Phone: 712-330-2633 | |
Brooke Wigen, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1819 23rd St, Spirit Lake, IA 51360 Phone: 712-336-3553 |