# KASSIE TANNEHILL THERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558128272
- **Authorized official:** KASSIE TANNEHILL LOTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (318) 316-3020

## Contact information

- **Practice address:** 109 DESPERADO RD, TROUT, LA 71371-4501
- **Practice address phone:** (318) 316-3020
- **Mailing address:** 109 DESPERADO RD, TROUT, LA 71371-4501
- **Mailing address phone:** (318) 316-3020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2024
- **Last updated:** 02/28/2024