Keith Tisdell
Keith Tisdell is an Occupational Therapist in Private Practice in Kyle, Texas. Qualified in 2001, 25 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 25
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
189 DeckerKyle, TX 78640-5791
Phone: (954) 328-5436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 113654 (FL) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 10016 (FL) |
Record details
| NPI number | 1477550630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 3, 2005 |
| Last updated in NPPES | January 11, 2012 |
| Mailing address | 189 Decker, Kyle, TX 78640-5791 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Legacy Healthcare Services Inc — 3624 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kyle
-
Vachonna S Durall, OTR
4701 Ratcliffe Dr, Kyle, TX 78640-6436 · (512) 920-6400
-
Loren Nicole Moses, OTR/L
407 S Old Highway 81, Kyle, TX 78640-5310 · (512) 504-3035
-
MS. Susan Jean Nickelson, OTRIL
407 S Old Highway 81, Kyle, TX 78640-5310 · (512) 504-3035
-
Mrs. Karen Rene Ratcliff, OTR
407 S Old Highway 81, Kyle, TX 78640-5310 · (210) 722-7998