Provider Demographics
NPI:1215556576
Name:TILLERY, MEREDITH HULL (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:HULL
Last Name:TILLERY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:GRACE
Other - Last Name:HULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:831 S DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2119
Mailing Address - Country:US
Mailing Address - Phone:423-823-8055
Mailing Address - Fax:
Practice Address - Street 1:1004 OXFORD HOUSE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN433516225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist