Carson Elise Bailey, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · MC Kenzie, TN
NPI 1386375400 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1386375400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3826 (TN)
- Practice address
- 14510 Highway 79
MC Kenzie, TN 38201-7824 - Phone
- (731) 352-5317
- Fax
- (731) 352-5942
- NPI assigned
- Jun 20, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3826 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3826 | TN | Yes |
Addresses
Primary practice location
14510 Highway 79
MC Kenzie, TN 38201-7824
Mailing address
224 High St
Huntingdon, TN 38344-3206
Phone (731) 499-0295
Other names
- Carson Elise Hatch
Other providers in MC Kenzie, TN
- Anna Anderson
- Malissa Anderson
- Sylvia Ifeyinwa Anunobi
- Holly Anne Arnold
- Aseracare Hospice - Tennessee, LLC
- Laura Baker
- Cloye Anita Barnhart-Gray
- Behavioral Health and Wellness
- Bethel Universtiy
- Bethel Universtiy
All providers in MC Kenzie, 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 20, 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.