Healthcare Provider Details

I. General information

NPI: 1346101201
Provider Name (Legal Business Name): KASSIE TANNEHILL THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 S FOURTH ST
JENA LA
71342-4084
US

IV. Provider business mailing address

109 DESPERADO RD
TROUT LA
71371-4501
US

V. Phone/Fax

Practice location:
  • Phone: 318-316-3020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. KASSIE TANNEHILL
Title or Position: OCCUPATIONAL THERAPIST/OWNER
Credential: L/OTR
Phone: 318-316-3020