Jennifer Lynne Bixler

Individual provider Active NPI Occupational Therapy Assistant · Dickson, TN

NPI 1013418276 · NPPES record last updated Feb 23, 2018

Key facts

NPI
1013418276
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3026 (TN)
Practice address
812 N Charlotte St
Dickson, TN 37055-1009
Phone
(615) 446-8046
NPI assigned
Feb 23, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3026 TN Yes

Addresses

Primary practice location

812 N Charlotte St
Dickson, TN 37055-1009

Mailing address

812 N Charlotte St
Dickson, TN 37055-1009
Phone (615) 446-8046

Other providers in Dickson, TN

All providers in Dickson, TN · Occupational Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.