Tisdale, Anita

Tisdale, Anita is an individual health care provider with primary practice located at 7557 Dannaher Ln Suite G30, Powell TN 37849-3558. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Tisdale, Anita can be contacted via phone (865) 512-1140.

Contact Information

Primary practice address
7557 Dannaher Ln Suite G30 Powell TN 37849-3558
Phone: (865) 512-1140
Fax: (865) 512-1141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2173 Tennessee

Profile Details

NPI number 1386607083
LBN Legal business name Tisdale, Anita
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386607083 NPPES
Tennessee MEDICAID 3645749
Tennessee Other 4111152

Popular Providers