Tammy Lynn Engelman
Individual provider Active NPI Occupational Therapist · Gallatin, MO
NPI 1568805000 · NPPES record last updated Apr 15, 2013
Key facts
- NPI
- 1568805000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 20000154624 (MO)
- Practice address
- 171 Admiral Dr
Gallatin, MO 64640-8357 - Phone
- (660) 663-2005
- NPI assigned
- Apr 15, 2013
- 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 |
|---|---|---|---|
| 20000154624 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20000154624 | MO | Yes |
Addresses
Primary practice location
171 Admiral Dr
Gallatin, MO 64640-8357
Mailing address
171 Admiral Dr
Gallatin, MO 64640-8357
Phone (660) 663-2005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20000154624 | Other | MO | STATE LICENSE NUMBER |
Other providers in Gallatin, MO
- D H Davis Drug Co Inc
- Abigail Grace Daffron
- Daviess County Board for the Developmentally Disabled
- Daviess County Health Department
- Larry J Dickinson
- Gallatin R-V School
- Jamie Gatz
- Tristan Rae Hamilton
- Amy Elizabeth Heldenbrand
- Jacob Earl Humphrey
All providers in Gallatin, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2013. 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.