Healthcare Provider Details

I. General information

NPI: 1306770250
Provider Name (Legal Business Name): KATIE EISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1784 ELKAHATCHEE RD
ALEXANDER CITY AL
35010-4800
US

IV. Provider business mailing address

1394 CRESCENT BLVD
AUBURN AL
36830-3097
US

V. Phone/Fax

Practice location:
  • Phone: 256-329-0868
  • Fax:
Mailing address:
  • Phone: 678-862-4230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: