IndividualActive
Amy Ellis, COTA/L
NPI 1831457191 · Occupational Therapy Assistant · Dyersburg, TN
Provider details
- NPI number
- 1831457191
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2094 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1900 Parr Ave
Dyersburg, TN 38024-2009
Phone: (731) 286-1221
Approximate (ZIP-level) locationGet directions
Mailing address
2009 Welch Rd
Dyersburg, TN 38024-7740
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2021-03-07
- Certified
- 2021-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.