Alissa S Bennett

Individual provider Active NPI Occupational Therapist · Union City, TN

NPI 1992137301 · NPPES record last updated Mar 3, 2020

Key facts

NPI
1992137301
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
1630 E Reelfoot Ave
Union City, TN 38261-6021
Phone
(731) 885-8095
NPI assigned
Aug 7, 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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

1630 E Reelfoot Ave
Union City, TN 38261-6021

Mailing address

1147 Snake Hill Rd
Dresden, TN 38225-1765
Phone (731) 415-7094

Other providers in Union City, TN

All providers in Union City, TN · Occupational Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.