IndividualActive
Amber Ellis-Carpenter, OT
NPI 1770005795 · Occupational Therapist · Southaven, MS
Provider details
- NPI number
- 1770005795
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT2256 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1890 Goodman Rd E Ste 201
Southaven, MS 38671-9504
Phone: (901) 830-9899
Approximate (ZIP-level) locationGet directions
Mailing address
1890 Goodman Rd E Ste 201
Southaven, MS 38671-9504
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.