| Kourtney Kincaid, | |
|
1102 Saint Marys Rd, Junction City, KS 66441-4139 | |
| (785) 762-3350 | |
| (785) 762-3920 |
| Full Name | Kourtney Kincaid |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1102 Saint Marys Rd, Junction City, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568060069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 17-03802 (Kansas) | Primary |
| Provider Name | Revive Integrative Health Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184387235 PECOS PAC ID: 1456729193 Enrollment ID: O20221130000986 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourtney Kincaid, 2812 W 12th Ave, Emporia, KS 66801-6202 Ph: (620) 208-7878 | Kourtney Kincaid, 1102 Saint Marys Rd, Junction City, KS 66441-4139 Ph: (785) 762-3350 |
Mrs. Beth Eileen Fischer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1102 Saint Marys Rd, Junction City, KS 66441 Phone: 785-762-3350 | |
Janessa Sarae Ortiz-delgado, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 N Washington St, Junction City, KS 66441 Phone: 785-762-3350 Fax: 785-762-3920 | |
Mrs. Jennifer Carol Johnson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 S Washington St, Junction City, KS 66441 Phone: 785-238-3747 Fax: 785-238-5514 | |
Caroline Kay Draper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 S Washington St, Junction City, KS 66441 Phone: 785-238-3747 | |
Kara Simer, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1102 Saint Marys Rd, Junction City, KS 66441 Phone: 785-762-3350 Fax: 785-762-3920 | |
Mrs. Holly Brecheisen, MOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 S Washington St, Junction City, KS 66441 Phone: 785-210-3363 Fax: 785-210-3419 | |
Deborah E-c Bachrach, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 101 N Washington St, Junction City, KS 66441 Phone: 785-762-3350 Fax: 785-762-3920 |