Laurie Taylor Kofmehl, OCCUPATIONAL TH | |
315 W 5th St, Storm Lake, IA 50588-1743 | |
(712) 732-7725 | |
(712) 732-5153 |
Full Name | Laurie Taylor Kofmehl |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 315 W 5th St, Storm Lake, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558409383 | NPI | - | NPPES |
49735 | Other | IA | WELLMARK OF IOWA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 267 (Iowa) | Primary |
Provider Name | Blue Stone Therapy Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20210301002214 |
Mailing Address | Practice Location Address |
---|---|
Laurie Taylor Kofmehl, OCCUPATIONAL TH 1801 W 6th St, Storm Lake, IA 50588-2810 Ph: (712) 732-7725 | Laurie Taylor Kofmehl, OCCUPATIONAL TH 315 W 5th St, Storm Lake, IA 50588-1743 Ph: (712) 732-7725 |
Marilyn Kathleen Loy, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Sale Barn Rd, Ste 3, Storm Lake, IA 50588 Phone: 712-213-1500 Fax: 712-213-1502 | |
Brianna Kintzle, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 W 5th St, Storm Lake, IA 50588 Phone: 712-732-7724 Fax: 712-732-1275 | |
Mrs. Julia Rae White, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1525 W 5th St, Storm Lake, IA 50588 Phone: 712-213-8674 | |
Jill T Fetrow, OCCUPATIONAL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 W 5th St, Storm Lake, IA 50588 Phone: 712-732-7725 Fax: 712-732-5153 | |
Wendy L Goodchild, OCCUPATIONAL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 W 5th St, Storm Lake, IA 50588 Phone: 712-732-7725 Fax: 712-732-5153 |