Nanette M Massey, OT | |
1501 Kings Hwy, Lsuhsc-school Of Allied Health Professionals, Shreveport, LA 71103-4228 | |
(318) 813-2960 | |
(318) 813-2989 |
Full Name | Nanette M Massey |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Low Vision |
Location | 1501 Kings Hwy, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285657668 | NPI | - | NPPES |
1320498 | Medicaid | LA | |
1174173 | Medicaid | LA | |
1884324 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
225XL0004X | Occupational Therapist - Low Vision | (* (Not Available)) | Primary |
Provider Name | Lsuhsc-s School Of Allied Health |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740904291 PECOS PAC ID: 2860869526 Enrollment ID: O20221109001624 |
Mailing Address | Practice Location Address |
---|---|
Nanette M Massey, OT 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 813-2960 | Nanette M Massey, OT 1501 Kings Hwy, Lsuhsc-school Of Allied Health Professionals, Shreveport, LA 71103-4228 Ph: (318) 813-2960 |
Jennie Moore Bange, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-813-2972 | |
Lynn Gibbs Jenkins, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Samford Ave, Shreveport, LA 71103 Phone: 318-222-5704 | |
Amanda Benson, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4509 Clingman Dr, Shreveport, LA 71105 Phone: 318-540-8180 | |
Mrs. Emily E Dennis, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, Shreveport, LA 71103 Phone: 318-813-2970 Fax: 318-813-2975 | |
Jessica Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Sadie Douglas Cir, Shreveport, LA 71106 Phone: 318-465-3743 | |
Kimberly Johnson, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8870 Youree Dr Ste 108, Shreveport, LA 71115 Phone: 318-344-8021 | |
Rachel Elizabeth Johns, MOT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5271 |