| Shonelle Sutton, | |
|
2602 Fifield Rd, Pella, IA 50219-7925 | |
| (641) 628-8260 | |
| Not Available |
| Full Name | Shonelle Sutton |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2602 Fifield Rd, Pella, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568224590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 01745 (Iowa) | Primary |
| Provider Name | Tidd-krafft Occupational And Physical Therapy Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932774890 PECOS PAC ID: 1254689169 Enrollment ID: O20220328002502 |
| Mailing Address | Practice Location Address |
|---|---|
| Shonelle Sutton, 306 Utrecht Laan, Pella, IA 50219-7947 Ph: (515) 230-1710 | Shonelle Sutton, 2602 Fifield Rd, Pella, IA 50219-7925 Ph: (641) 628-8260 |
Myndi Marie Vanvoorst, OCCUPT. THERAPIST Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 Washington St, Pella, IA 50219 Phone: 641-621-1401 Fax: 641-628-7308 | |
Amber Williams, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2602 Fifield Rd, Pella, IA 50219 Phone: 641-628-8260 | |
Jonathan Patrick Bopes, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Jefferson St Ste B, Pella, IA 50219 Phone: 641-628-6623 | |
Sarah Christine Vogel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Monroe St, Pella, IA 50219 Phone: 641-628-6623 Fax: 641-621-2223 | |
Abby E. Mockenhaupt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 604 Liberty St, Ste.229, Pella, IA 50219 Phone: 644-162-1112 Fax: 641-621-1177 | |
Jessie Kae Grote, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2525 Washington St, Pella, IA 50219 Phone: 641-628-6728 Fax: 641-628-6727 | |
Ms. Karen Lynn Ahrens, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 Jefferson St, Rehab Department, Pella, IA 50219 Phone: 641-628-6623 |