Tisa Kittrell

Occupational Therapy Assistant · McComb, MS

Individual Active NPI

NPI number 1932316528

Practice location

206 Maryland Ave
McComb, MS 39648-3926
Phone
(601) 250-4815
Fax
(601) 250-6859

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NPI record

NPI
1932316528
Entity type
Individual (Type 1)
Enumeration date
May 16, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X TA1422 MS

Mailing address

18 Southdown Rd
Sumrall, MS 39482-5444
Phone
(601) 250-4815
Fax
(601) 250-6859

About Tisa Kittrell

Tisa Kittrell is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 206 Maryland Ave, McComb, MS 39648-3926. The NPI number 1932316528 was assigned on May 16, 2007 and the record was last updated on July 8, 2007.

Tisa Kittrell lists a license in the registry: #TA1422 (MS) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tisa Kittrell?

The NPI number is 1932316528.

What is the phone number of Tisa Kittrell?

The phone number listed for the practice location is (601) 250-4815.

Where is Tisa Kittrell located?

206 Maryland Ave, McComb, MS 39648-3926.

What is the taxonomy code for Tisa Kittrell?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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