Hayley Broadway Crozier, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Clarksville, TN
NPI 1164032686 · NPPES record last updated Aug 10, 2020
Key facts
- NPI
- 1164032686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0000003422 (TN)
- Practice address
- 298 Warfield Blvd
Clarksville, TN 37043-1895 - Phone
- (931) 906-0440
- NPI assigned
- Aug 10, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019016899 | MO | MD | Occupational Therapy Assistant |
| 0000003422 | TN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2019016899 | MO | |
| Occupational Therapy Assistant | 224Z00000X | 0000003422 | TN | Yes |
Addresses
Primary practice location
298 Warfield Blvd
Clarksville, TN 37043-1895
Mailing address
683 Fox Trail CT
Clarksville, TN 37040-6251
Phone (334) 791-8730
Other providers in Clarksville, TN
- Crossroads Urgent Care, PLLC
- Kathy J Crouch
- Robert J Crouch III
- Ryan D Crouch
- Paul Clinton Crow
- Sydney Crutcher
- Crystal Clear Counseling Center
- Ebony Cue
- Cumberland Pathology Associates PLLC
- Cumberland Spine & Joint Rehabilitation PLC
All providers in Clarksville, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.