Ashten Granner, | |
2035 Saint John Ave Ste 2, Dyersburg, TN 38024-2209 | |
(731) 325-5515 | |
Not Available |
Full Name | Ashten Granner |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2035 Saint John Ave Ste 2, Dyersburg, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982216164 | NPI | - | NPPES |
Q029723 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 6670 (Tennessee) | Primary |
Provider Name | Star Physical Therapy Lp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396704094 PECOS PAC ID: 5496662421 Enrollment ID: O20131001000367 |
Mailing Address | Practice Location Address |
---|---|
Ashten Granner, Po Box 681478, Franklin, TN 37068-1478 Ph: (615) 591-6590 | Ashten Granner, 2035 Saint John Ave Ste 2, Dyersburg, TN 38024-2209 Ph: (731) 325-5515 |
Brandi Lemons, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Parr Ave, Dyersburg, TN 38024 Phone: 731-286-1221 Fax: 731-285-3886 | |
Kelsey Callins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Woodlawn Ave, Dyersburg, TN 38024 Phone: 731-286-1115 Fax: 731-286-0998 | |
Jared Michael Alvey, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 Woodlawn Ave, Dyersburg, TN 38024 Phone: 731-286-1115 Fax: 731-286-0998 | |
Courtney Lane Ozment, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Parr Ave, Dyersburg, TN 38024 Phone: 731-286-1221 | |
Jessica Wright, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Woodlawn Ave, Dyersburg, TN 38024 Phone: 731-286-1115 Fax: 731-286-0998 | |
Elizabeth Schultz, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Woodlawn Ave, Dyersburg, TN 38024 Phone: 731-286-1115 Fax: 731-286-0998 | |
Mrs. Brittney Leigh Woods, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Parr Ave, Dyersburg, TN 38024 Phone: 731-286-1221 |