Tiffany Elmore, OTR/L
Individual provider Active NPI Occupational Therapist · Grenada, MS
NPI 1770860348 · NPPES record last updated Nov 10, 2011
Key facts
- NPI
- 1770860348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT2569 (MS)
- Practice address
- 751 Choctaw St
Grenada, MS 38901-5317 - Phone
- (601) 201-8371
- NPI assigned
- Nov 10, 2011
- 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 |
|---|---|---|---|
| OT2569 | MS | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT2569 | MS | Yes |
Addresses
Primary practice location
751 Choctaw St
Grenada, MS 38901-5317
Mailing address
751 Choctaw St
Grenada, MS 38901-5317
Phone (601) 201-8371
Other providers in Grenada, MS
- E L Transit Solutions LLC
- Benjamin Clayton Edwards
- Misty Edwards
- Elite Performance Physical Therapy
- Khalihah Ellis
- Encore Rehabilitation Inc
- Catiecha L Eskridge
- Evolution Clinical Counseling and Services
- Family Cancer Center, PLLC
- Family Health Care Clinic, Inc
All providers in Grenada, 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 Nov 10, 2011. 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.