Kelly Suzanne Eastin in West Des Moines - Occupational Therapist

Kelly Suzanne Eastin - NPI 1356560262

Kelly Suzanne Eastin is a Occupational Therapist in West Des Moines, Iowa. Kelly Suzanne Eastin practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Kelly Suzanne Eastin is 1356560262. The last update date is 2007-07-08.

Kelly Suzanne Eastin's current location address is 1100 Briar Rdg, West Des Moines, Iowa. You can contact this provider via phone number 5155080814. The mailing address for Kelly Suzanne Eastin is 1100 Briar Rdg, West Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Suzanne Eastin
Address 1100 Briar Rdg, West Des Moines, Iowa
Phone Number 5155080814
Fax Number
Sole Proprietor N
Credentials MS, OTR-L

NPI Number Detail

NPI Number 1356560262
Provider Enumeration Date 2007-04-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1100 Briar Rdg
City West Des Moines
State Iowa (IA)
Post Code 502655787
Phone Number 5155080814
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 1613
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36918 IA WELLMARK BCBS

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FAQs about Kelly Suzanne Eastin

What is the unique identifier code issued to Kelly Suzanne Eastin by the Centers for Medicare & Medicaid Services (CMS)?

The Kelly Suzanne Eastin has been assigned the NPI (National Provider Identifier) 1356560262. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Kelly Suzanne Eastin's facilities are situated?

The facilities of Kelly Suzanne Eastin are physically located at the following address: 1100 Briar Rdg, West Des Moines, IA, 502655787.

What is the area of specialization for Kelly Suzanne Eastin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kelly Suzanne Eastin is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.

On what date did Kelly Suzanne Eastin receive its 1356560262 assignment from the Centers for Medicare & Medicaid Services?

The Kelly Suzanne Eastin was assigned its 1356560262 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kelly Suzanne Eastin last refreshed?

The information related to the Kelly Suzanne Eastin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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