Amanda Henderson, OTR

Individual provider Active NPI Occupational Therapist · Mexia, TX

NPI 1669937827 · NPPES record last updated Feb 1, 2019

Key facts

NPI
1669937827
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
119653 (TX)
Practice address
501 E Sumpter St
Mexia, TX 76667
Phone
(254) 472-0630
NPI assigned
Feb 1, 2019
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

LicenseStateTypeSpecialty
119653TXMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 119653 TX Yes

Addresses

Primary practice location

501 E Sumpter St
Mexia, TX 76667

Mailing address

553 LCR 244
Mexia, TX 76667
Phone (903) 390-1089

Other providers in Mexia, TX

All providers in Mexia, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.