Stephanie Ann Brasher

Individual provider Active NPI Occupational Therapist · Belton, TX

NPI 1023599008 · NPPES record last updated Sep 8, 2023

Key facts

NPI
1023599008
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
120681 (TX)
Practice address
3218 Ingram Cir
Belton, TX 76513-4159
Phone
(254) 291-1755
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2032704TXMDPhysical Therapy Assistant
120681TXMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2032704 TX
Occupational Therapist 225X00000X 120681 TX Yes

Addresses

Primary practice location

3218 Ingram Cir
Belton, TX 76513-4159

Mailing address

3218 Ingram Cir
Belton, TX 76513-4159
Phone (254) 291-1755

Other providers in Belton, TX

All providers in Belton, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.