Ms Kiara Antoinette Davis, OTR/L | |
1325 Mcingvale Rd, Hernando, MS 38632-1013 | |
(662) 429-2070 | |
Not Available |
Full Name | Ms Kiara Antoinette Davis |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1325 Mcingvale Rd, Hernando, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326822966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT4013 (Mississippi) | Primary |
Provider Name | Creative Health Care Management Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508538810 PECOS PAC ID: 4385929892 Enrollment ID: O20211102003279 |
Mailing Address | Practice Location Address |
---|---|
Ms Kiara Antoinette Davis, OTR/L 456a County Road 601, Guntown, MS 38849-3337 Ph: (662) 255-2117 | Ms Kiara Antoinette Davis, OTR/L 1325 Mcingvale Rd, Hernando, MS 38632-1013 Ph: (662) 429-2070 |
Mrs. Katie Hunt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 W South St, Hernando, MS 38632 Phone: 662-289-0066 | |
Southern Pediatric Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1772 Carlee Dr, Hernando, MS 38632 Phone: 662-469-2906 | |
Joyce Young, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1325 Mcingvale Rd, Hernando, MS 38632 Phone: 662-428-2070 | |
Jennifer Pacileo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1772 Carlee Dr, Hernando, MS 38632 Phone: 662-469-2906 | |
D'allegra Cochran, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1481 Byhalia Rd, Hernando, MS 38632 Phone: 662-469-2906 | |
Kristen Nicole Walls, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 W South St, Hernando, MS 38632 Phone: 662-298-0066 |