Tara Lynn Clements, OTR

Individual provider Active NPI Occupational Therapist · Morganfield, KY

NPI 1629586367 · NPPES record last updated Jan 16, 2018

Key facts

NPI
1629586367
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
131144 (KY)
Practice address
170 Sykes Blvd
Morganfield, KY 42437-6685
Phone
(270) 389-1133
NPI assigned
Jan 16, 2018
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

LicenseStateTypeSpecialty
131144KYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 131144 KY Yes

Addresses

Primary practice location

170 Sykes Blvd
Morganfield, KY 42437-6685

Mailing address

322 S Morgan St
Morganfield, KY 42437-1730

Other providers in Morganfield, KY

All providers in Morganfield, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.