Tiffany K Larson, OTR/L
Individual provider Active NPI Occupational Therapist · Minot, ND
NPI 1689913428 · NPPES record last updated Feb 13, 2013
Key facts
- NPI
- 1689913428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1175 (ND)
- Practice address
- 1 Burdick Expy W
Minot, ND 58701-4406 - Phone
- (701) 857-5286
- Fax
- (701) 857-3246
- NPI assigned
- Feb 13, 2013
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1175 | ND | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1175 | ND | Yes |
Addresses
Primary practice location
1 Burdick Expy W
Minot, ND 58701-4406
Mailing address
PO Box 5020
Minot, ND 58702-5020
Phone (701) 857-5105
Other providers in Minot, ND
- Annika Larson
- Candace Larson
- Kathleen Larson
- Kathy A Larson
- Laura S. Larson
- Carmen Lee Latella
- Stacy Latendresse
- Bobbie Lattergrass
- Chelsea Lavalley
- Arwen Lavallie
All providers in Minot, ND · Occupational Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 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.