Alexis Tatter, is a
Occupational Therapist based in Louisiana, Missouri. Alexis Tatter is licensed to practice in Minnesota (license number 105362) and her current practice location is
2407 Kentucky St, Louisiana, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 754-5456.
NPI number for Alexis Tatter is 1386119303 and her current mailing address is 19766 Sago 3, Warba, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386119303.
Healthcare Provider's Profile
| Full Name | Alexis Tatter |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 2407 Kentucky St, Louisiana, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1386119303
- Provider Enumeration Date: 10/05/2018
- Last Update Date: 10/05/2018
Medical Identifiers
Medical identifiers for Alexis Tatter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386119303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 086494 (Iowa) | Secondary |
| 225X00000X | Occupational Therapist | 6247-26 (Wisconsin) | Secondary |
| 225X00000X | Occupational Therapist | 2018005948 (Missouri) | Secondary |
| 225X00000X | Occupational Therapist | OTP-OT-LIC-6137 (Montana) | Secondary |
| 225X00000X | Occupational Therapist | 105362 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Tatter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alexis Tatter,
19766 Sago 3,
Warba, MN 55793-1610
Ph: (218) 256-9477 | Alexis Tatter,
2407 Kentucky St,
Louisiana, MO 63353-2503
Ph: (573) 754-5456 |
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