| Ms Susan Jean Nickelson, OTRIL | |
|
407 S Old Highway 81, Kyle, TX 78640-5310 | |
| (512) 504-3035 | |
| (512) 504-9287 |
| Full Name | Ms Susan Jean Nickelson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 407 S Old Highway 81, Kyle, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538260518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1320 (California) | Secondary |
| 225X00000X | Occupational Therapist | 108876 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Jean Nickelson, OTRIL 7804 Croftwood Dr, Austin, TX 78749-3204 Ph: (512) 739-2370 | Ms Susan Jean Nickelson, OTRIL 407 S Old Highway 81, Kyle, TX 78640-5310 Ph: (512) 504-3035 |
Ms. Nicole Anne Brodhead, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Loren Nicole Moses, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 512-504-3035 Fax: 512-504-9287 | |
Keith Tisdell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 189 Decker, Kyle, TX 78640 Phone: 954-328-5436 | |
Stacy Rayann Bustos, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 Ashwood S, Kyle, TX 78640 Phone: 281-851-3086 | |
Logan Long, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5980 Kyle Pkwy, Kyle, TX 78640 Phone: 512-308-3015 | |
Mrs. Karen Rene Ratcliff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 S Old Highway 81, Kyle, TX 78640 Phone: 210-722-7998 Fax: 512-857-0166 |