MEDICARE: MICHAEL GESLER OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	260371	KY
2	225X00000X	Occupational Therapist	19178	FL

General Provider Information

NPI Number	:	1215425806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL GESLER OTR

Provider Business Mailing Address
First Line	:	72 SHAWNEE DR
Second Line	:
City	:	SCOTTSVILLE
State	:	KY
Zip	:	42164-9323
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	706 N MAGNOLIA ST
Second Line	:
City	:	TOMPKINSVILLE
State	:	KY
Zip	:	42167-1112
Country	:	US
Telephone Number	:	270-487-6135
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2018
Last Update Date	:	08/08/2024

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Directions to “ MICHAEL GESLER OTR” Practice Location

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