Tamarra Michelle Butcher, COTA
Individual provider Active NPI Occupational Therapy Assistant · Liberal, MO
NPI 1497505754 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1497505754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 213 Gross St # a
Liberal, MO 64762-9511 - Phone
- (417) 667-1071
- NPI assigned
- Mar 26, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | KS | Yes |
Addresses
Primary practice location
213 Gross St # a
Liberal, MO 64762-9511
Mailing address
213 Gross St # a
Liberal, MO 64762-9511
Phone (417) 667-1071
Other providers in Liberal, MO
- Denise Elaine Dickens
- Family Health and Wellness Clinic, LLC
- Inez Shields LLC
- Robert R Jones
- Judy M Parton
All providers in Liberal, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. 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.