Michaela Leigh Lusty, OTR

NPI #1104440775 in Killeen, Texas

Provider Information

NPI Number: 1104440775
Entity Type: Individual
Name: Michaela Leigh Lusty, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 29, 2020
Last Updated: Aug 19, 2021

Practice Location

Address: 3000 ILLINOIS AVE
City: Killeen
State: Texas
ZIP Code: 76543-5371
Phone: (254) 640-4062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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