| Live To The Max Llc | |
|
206 Bridgewater Trl, Canton, GA 30115-4566 | |
| (229) 894-1353 | |
| Not Available |
| Full Name | Live To The Max Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 206 Bridgewater Trl, Canton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003693870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Katherine Rose Liles |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336300441 PECOS PAC ID: 0547617755 Enrollment ID: I20231109002200 |
| Mailing Address | Practice Location Address |
|---|---|
| Live To The Max Llc 206 Bridgewater Trl, Canton, GA 30115-4566 Ph: (229) 894-1353 | Live To The Max Llc 206 Bridgewater Trl, Canton, GA 30115-4566 Ph: (229) 894-1353 |
Marissa Goodman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 213 Manous Way, Canton, GA 30115 Phone: 404-668-3243 | |
Kimberly D'addario, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way, Suite 302, Canton, GA 30115 Phone: 770-345-2804 Fax: 678-827-0927 | |
Mrs. Wendy Renee Greco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 169 Lake Reserve Way, Canton, GA 30115 Phone: 770-880-0075 | |
Mrs. Sara Kristi Beasley, MOT OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1453 Riverstone Pkwy Ste 170, Canton, GA 30114 Phone: 770-704-0774 | |
Amy Jennifer Jones, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: #1 Mcgarity Rd., Canton, GA 30115 Phone: 770-360-9183 Fax: 770-360-8965 | |
Mrs. Mary Zamorski, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 172 Birchwood Pass, Canton, GA 30114 Phone: 678-522-1078 Fax: 678-985-3953 |