Stacie R Campbell in Ethridge - Occupational Therapy Assistant
Stacie R Campbell - NPI 1568593341
Stacie R Campbell is a Occupational Therapy Assistant in Ethridge, Tennessee. Stacie R Campbell practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Stacie R Campbell is 1568593341. The last update date is 2007-07-08.
Stacie R Campbell's current location address is 29 Cross Road, Ethridge, Tennessee. You can contact this provider via phone number 9318292480. The mailing address for Stacie R Campbell is 29 Cross Road, Ethridge, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacie R Campbell |
|---|---|
| Address | 29 Cross Road, Ethridge, Tennessee |
| Phone Number | 9318292480 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1568593341 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 29 Cross Road |
|---|---|
| City | Ethridge |
| State | Tennessee (TN) |
| Post Code | 38456 |
| Phone Number | 9318292480 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 1139 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the unique 10-digit identification code assigned to Stacie R Campbell by the Centers for Medicare & Medicaid Services?
The Stacie R Campbell has been issued the NPI (National Provider Identifier) 1568593341, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stacie R Campbell's physical address?
The Stacie R Campbell is physically located at 29 Cross Road, in the city of Ethridge, TN, with the postal code 38456.
What is Stacie R Campbell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacie R Campbell's area of specialization is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 224Z00000X.
On what date did Stacie R Campbell receive its 1568593341 assignment from the Centers for Medicare & Medicaid Services?
The Stacie R Campbell was assigned its 1568593341 on 2007-03-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stacie R Campbell most recently updated or revised?
The information pertaining to Stacie R Campbell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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