Takisha Kayon Sanders, OTR/L | |
5130 Wedgewood Dr, Olive Branch, MS 38654-6616 | |
(912) 308-8143 | |
Not Available |
Full Name | Takisha Kayon Sanders |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 5130 Wedgewood Dr, Olive Branch, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497391106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3722 (Mississippi) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376073262 PECOS PAC ID: 6507832573 Enrollment ID: O20171003005084 |
Mailing Address | Practice Location Address |
---|---|
Takisha Kayon Sanders, OTR/L 4744 We Ross Pkwy Apt 50-201, Southaven, MS 38671-7003 Ph: (912) 308-8143 | Takisha Kayon Sanders, OTR/L 5130 Wedgewood Dr, Olive Branch, MS 38654-6616 Ph: (912) 308-8143 |
Kelly Sue Morgan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6270 Cheyenne Dr, Olive Branch, MS 38654 Phone: 901-428-8011 | |
Tyrice Cartwright, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7579 Wisteria Dr, Olive Branch, MS 38654 Phone: 615-717-7471 | |
Mrs. Melissa Verkler Slade, MOT,OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5600 Goodman Rd Ste D, Olive Branch, MS 38654 Phone: 662-895-4545 Fax: 662-895-4546 | |
Tyrice Cartwright Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7579 Wisteria Dr, Olive Branch, MS 38654 Phone: 615-717-7471 | |
Julie Beal, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7501 Goodman Rd Ste I, Olive Branch, MS 38654 Phone: 662-892-3382 Fax: 662-890-3385 | |
Fairuza Zan Trust Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6569 Highway 305 N, Olive Branch, MS 38654 Phone: 901-870-1246 |