Holly Rae Phipps
Individual provider Active NPI Occupational Therapy Assistant · Woodbury, TN
NPI 1194457911 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1194457911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3728 (TN)
- Practice address
- 119 W High St
Woodbury, TN 37190-1226 - Phone
- (615) 563-5939
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3728 | TN | Yes |
Addresses
Primary practice location
119 W High St
Woodbury, TN 37190-1226
Mailing address
1031 Roach Hollow Rd
Woodbury, TN 37190-5257
Phone (931) 314-3631
Other providers in Woodbury, TN
- Suzanne Lavene Parsley
- Cara M Peffley
- Natalie G Perkins
- Paul Vincent Petrilli
- Christopher Kirk-Ryan Phillips
- Pmi Diagnostics
- Barbara Ann Prater
- Ashley Nicole Reed
- Results-Ast JV, LLC
- Results-Ast JV, LLC
All providers in Woodbury, 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 Jun 29, 2022. 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.