IndividualActive
Amanda Street, OT
NPI 1235287517 · Occupational Therapist · Tupelo, MS
Provider details
- NPI number
- 1235287517
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- License
- OT1818 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
960 Commonwealth Blvd
Tupelo, MS 38804-9762
Phone: (662) 260-3789
Fax: (662) 260-3790
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 822394
Vicksburg, MS 39182-2394
Additional practice locations (1)
- 1901 Mission 66Suite aVicksburg, MS 39180-3711Phone: (601) 638-4076Fax: (601) 638-4979
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.