| Serah Rose Tidei, OTR/L | |
|
90 Howard Dr, Shelbyville, KY 40065-8138 | |
| (502) 523-8849 | |
| Not Available |
| Full Name | Serah Rose Tidei |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 90 Howard Dr, Shelbyville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083145312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 286937 (Kentucky) | Primary |
| 225X00000X | Occupational Therapist | 31007099A (Indiana) | Secondary |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Serah Rose Tidei, OTR/L 90 Howard Dr, Shelbyville, KY 40065-8138 Ph: (502) 523-8849 | Serah Rose Tidei, OTR/L 90 Howard Dr, Shelbyville, KY 40065-8138 Ph: (502) 523-8849 |
Katie Flanigan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Midland Trl, Suite 1 And 2, Shelbyville, KY 40065 Phone: 502-633-1007 Fax: 502-805-1511 | |
Kayleigh Hinton Talbott, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 | |
Anna Nicole Perlack, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 | |
Alison Yeggy, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 | |
Hillary Forsee, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 Fax: 502-805-1511 | |
Kathryn Mary Noonan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 Fax: 502-437-0624 | |
Spencer Thomas Hammond, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 90 Howard Dr, Shelbyville, KY 40065 Phone: 502-633-1007 |