Amanda Ellisha Keaster in Russellville - Occupational Therapist
Amanda Ellisha Keaster - NPI 1184732752
Amanda Ellisha Keaster is a Occupational Therapist in Russellville, Arkansas. Amanda Ellisha Keaster practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Amanda Ellisha Keaster is 1184732752. The last update date is 2023-07-21.
Amanda Ellisha Keaster's current location address is P.o. Drawer 2109, Russellville, Arkansas. You can contact this provider via phone number 4799672322 and fax number 4799672876. The mailing address for Amanda Ellisha Keaster is P.o. Drawer 2109, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Ellisha Keaster |
|---|---|
| Address | P.o. Drawer 2109, Russellville, Arkansas |
| Phone Number | 4799672322 |
| Fax Number | 4799672876 |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1184732752 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2023-07-21 |
Provider Mailing Address Detail
| Address | P.o. Drawer 2109 |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728112109 |
| Phone Number | 4799672322 |
| Fax Number | 4799672876 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OTR2066 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 662725 | AR | HEALTHLINK | |
| 162765721 | AR | -- | |
| 5A030 | AR | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Amanda Ellisha Keaster by the Centers for Medicare & Medicaid Services?
The Amanda Ellisha Keaster has been issued the NPI (National Provider Identifier) 1184732752, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Amanda Ellisha Keaster?
The Amanda Ellisha Keaster is physically situated at P.O. Drawer 2109, in the city of Russellville, state of AR, with the postal code 728112109.
What is Amanda Ellisha Keaster's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amanda Ellisha Keaster's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did Amanda Ellisha Keaster receive its 1184732752 assignment from the Centers for Medicare & Medicaid Services?
The Amanda Ellisha Keaster was assigned its 1184732752 on 2006-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Amanda Ellisha Keaster, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Amanda Ellisha Keaster, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-07-21.