Staci Lynn Watts, | |
1915 Lohmans Crossing Rd, Lakeway, TX 78734-5274 | |
(512) 261-7146 | |
Not Available |
Full Name | Staci Lynn Watts |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1915 Lohmans Crossing Rd, Lakeway, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245955467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 112119 (Texas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
---|---|
Staci Lynn Watts, 131 Yarbrough Dr, Dripping Springs, TX 78620-2371 Ph: () - | Staci Lynn Watts, 1915 Lohmans Crossing Rd, Lakeway, TX 78734-5274 Ph: (512) 261-7146 |
Alexa Balagia, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-759-6438 | |
Katharine Rowland Grevera, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Eagle Cv, Lakeway, TX 78734 Phone: 512-520-6598 | |
Nicole Summers Booher, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 Medical Parkway, Lakeway, TX 78738 Phone: 512-501-3488 | |
Aminah Khinnarath, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-263-4500 | |
Julie Marie Jackson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 Bella Montagna Cir, Lakeway, TX 78734 Phone: 512-598-0714 | |
Wendy Cortes, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 107 Bella Montagna Cir, Lakeway, TX 78734 Phone: 512-598-0714 | |
Irma Angelica Aguirre, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1917 Lohmans Crossing Rd, Lakeway, TX 78734 Phone: 512-261-3211 |