Provider Demographics
NPI:1114571890
Name:JOYNER, MISTY L (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:MISTY
Middle Name:L
Last Name:JOYNER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 CURTIS PARKWAY NE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:ME
Mailing Address - Zip Code:30701-5018
Mailing Address - Country:US
Mailing Address - Phone:706-529-3025
Mailing Address - Fax:706-383-6578
Practice Address - Street 1:215 CURTIS PARKWAY NE
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:ME
Practice Address - Zip Code:30701-5018
Practice Address - Country:US
Practice Address - Phone:706-529-3025
Practice Address - Fax:706-383-6578
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5308225X00000X
GAOT006247225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist