| Reegan Elles Edema, OTR/L | |
|
2855 44th St Sw Ste 160, Grandville, MI 49418-2682 | |
| (616) 379-9887 | |
| (616) 253-6061 |
| Full Name | Reegan Elles Edema |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2855 44th St Sw Ste 160, Grandville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184450868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201013945 (Michigan) | Primary |
| Provider Name | Thrive Pediatric Speech And Feeding Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265074827 PECOS PAC ID: 8325471873 Enrollment ID: O20191213002136 |
| Mailing Address | Practice Location Address |
|---|---|
| Reegan Elles Edema, OTR/L 2855 44th St Sw Ste 160, Grandville, MI 49418-2682 Ph: (616) 379-9887 | Reegan Elles Edema, OTR/L 2855 44th St Sw Ste 160, Grandville, MI 49418-2682 Ph: (616) 379-9887 |
Ashley Marie Nichoson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7271 Kenowa Ave Sw, Grandville, MI 49418 Phone: 616-773-0531 | |
Lisa Ellis, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-534-5487 | |
Holly Cieslinski, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3550 Fairlines Ave, Grandville, MI 49418 Phone: 616-531-5025 | |
Alyssa Christine Davidson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3181 Prairie St Sw Ste 115, Grandville, MI 49418 Phone: 616-260-3121 | |
Caroline Markvluwer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2855 44th St Sw Ste 160, Grandville, MI 49418 Phone: 616-379-9887 | |
Kerri Lindeman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4050 Del Mar Dr Sw, Grandville, MI 49418 Phone: 616-377-2283 |