Keith Tisdell

Occupational Therapist · Kyle, TX

Individual Active NPI

NPI number 1477550630

Practice location

189 Decker
Kyle, TX 78640-5791
Phone
(954) 328-5436

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NPI record

NPI
1477550630
Entity type
Individual (Type 1)
Enumeration date
July 3, 2005
Last updated
January 11, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 113654 FL
Occupational Therapist 225X00000X 10016 FL

About Keith Tisdell

Keith Tisdell is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 189 Decker, Kyle, TX 78640-5791. The NPI number 1477550630 was assigned on July 3, 2005 and the record was last updated on January 11, 2012.

Keith Tisdell lists 2 licenses in the registry: #113654 (FL) for Occupational Therapist; #10016 (FL) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Tisdell?

The NPI number is 1477550630.

What is the phone number of Keith Tisdell?

The phone number listed for the practice location is (954) 328-5436.

Where is Keith Tisdell located?

189 Decker, Kyle, TX 78640-5791.

What is the taxonomy code for Keith Tisdell?

The primary taxonomy code is 225X00000X – Occupational Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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