Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH TISDELL
ActiveKEITH TISDELL is a Occupational Therapist healthcare provider located in KYLE, Texas. NPI 1477550630 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · KYLE, TX
Registration Details
- NPI Number
- 1477550630
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2005 (21.114833824817 yrs)
- Last Updated
- Jan 11, 2012
- Licenses
-
10016 (FL)113654 (FL)
Practice Information
- Address
-
189 DECKERKYLE, TX, 786405791Browse TX providers · Browse ZIP 78640
- Phone
- 9543285436
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in KYLE, TX
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN JEAN NICKELSON | OTRIL | 1538260518 |
| MRS. KAREN RENE RATCLIFF | OTR | 1861652273 |
| LOREN NICOLE MOSES | OTR/L | 1316234016 |
| MS. NICOLE ANNE BRODHEAD | OTR | 1023364023 |
| STACY RAYANN BUSTOS | OTR | 1649678863 |
| VACHONNA S DURALL | OTR | 1295545820 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.