| Kayla Shackleford, MS, CCC-SLP | |
|
514 S Brown St, Springfield, TN 37172-2937 | |
| (615) 988-4552 | |
| (615) 382-0501 |
| Full Name | Kayla Shackleford |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 514 S Brown St, Springfield, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356072771 | NPI | - | NPPES |
| 7544 | Other | TN | STATE OF TN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7544 (Tennessee) | Primary |
| Provider Name | Rww Outpatient Rehab Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770148793 PECOS PAC ID: 8729333521 Enrollment ID: O20190805003140 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Shackleford, MS, CCC-SLP Po Box 1637, Springfield, TN 37172-1637 Ph: (615) 988-4552 | Kayla Shackleford, MS, CCC-SLP 514 S Brown St, Springfield, TN 37172-2937 Ph: (615) 988-4552 |
Enny Cleaveland-acklin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3131 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-382-7979 | |
Miss Sara Beth Ulrey, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3131 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-386-4900 Fax: 615-386-4999 | |
Courtney E Westbrook, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3131 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-386-4900 | |
Rebecca Alexander, MS-CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 514 S Brown St, Suite 600, Springfield, TN 37172 Phone: 615-382-0500 Fax: 615-382-0501 | |
Mrs. Mary Mac Lax, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 514 S Brown St, Suite 600, Springfield, TN 37172 Phone: 615-982-0500 Fax: 615-382-0501 | |
Mrs. Katie Lynn Akers, M.S. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3131 Tom Austin Hwy, Springfield, TN 37172 Phone: 615-382-7979 | |
Mrs. Selena Callaghan, MS,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 514 S Brown St, Suite 600, Springfield, TN 37172 Phone: 615-382-0500 Fax: 615-382-0501 |