Kimberly Campbell
Individual provider Active NPI Occupational Therapy Assistant · Germantown, TN
NPI 1487053609 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1487053609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2239 (TN)
- Practice address
- 2129 West Street Suite 224
Germantown, TN 38138 - Phone
- (866) 563-7772
- Fax
- (901) 255-0758
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Customized Medical Needs | Occupational Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2239 | TN | Yes |
Addresses
Primary practice location
2129 West Street Suite 224
Germantown, TN 38138
Mailing address
2129 West Street Suite 224
Germantown, TN 38138
Phone (866) 563-7772
Other providers in Germantown, TN
- Campbell Clinic PC
- Campbell Clinic Surgery Center, LLC
- Campbell Clinic, PC
- Angela Campbell
- Jasmine Elyse Campbell
- Chad Campion
- Callie Mae Canfield
- Christina P Cannon
- David Lorne Cannon
- Shamicka L Cannon
All providers in Germantown, 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 14, 2014. 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.