Rachelle Alana Elliott, MOT, OTR

Individual provider Active NPI Occupational Therapist · Hereford, TX

NPI 1992020150 · NPPES record last updated Nov 3, 2021

Key facts

NPI
1992020150
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
112137 (TX)
Practice address
540 W 15TH St
Hereford, TX 79045-2820
Phone
(806) 356-8284
NPI assigned
Mar 31, 2010
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
112137TXMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 112137 TX Yes

Addresses

Primary practice location

540 W 15TH St
Hereford, TX 79045-2820

Mailing address

540 W 15TH St
Hereford, TX 79045-2820

Other providers in Hereford, TX

All providers in Hereford, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.