Amanda Leigh Suell, OT
Individual provider Active NPI Occupational Therapist · Leland, MS
NPI 1669903001 · NPPES record last updated Mar 27, 2017
Key facts
- NPI
- 1669903001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT3220 (MS)
- Practice address
- 201 Baker Blvd
Leland, MS 38756-3401 - Phone
- (662) 686-4121
- Fax
- (662) 686-4770
- NPI assigned
- Mar 27, 2017
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT3220 | MS | Yes |
Addresses
Primary practice location
201 Baker Blvd
Leland, MS 38756-3401
Mailing address
201 Baker Blvd
Leland, MS 38756-3401
Phone (662) 686-4121
Other providers in Leland, MS
- Analee Rose Ryals
- Laura Selby
- Robdreka Shaw
- Leerin D Simpson Triplett
- Gail M Sims
- Upshur Clinic, PLLC
- Melinda Balducci Upshur
- Felicia R Walker
- Jessica Walker
- Michael Earl Walker
All providers in Leland, MS · Occupational Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2017. 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.