Individual ProviderKaitlyn EdwardsOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1950 E 70th St Ste A, Shreveport, LA 71105-5345(318) 219-6064PECOS EnrollmentBased on the most recent information from CMS, provider Kaitlyn Edwards does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1710658620Provider TypeIndividualFull NameEdwards, KaitlynTitleMissCredentialLOTRGenderFemaleSole ProprietorNoEnumeration Date9/22/2021Last Updated9/22/2021Contact InformationPractice LocationPractice Address1950 E 70th St Ste A, Shreveport, LA 71105-5345Phone(318) 219-6064FaxUnlisted FaxMailing LocationMailing Address1950 E 70th St Ste A, Shreveport, LA 71105-5345Phone(318) 219-6064FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerLouisiana