Provider Demographics
NPI:1558516831
Name:MCGHEE, JONI D (OT)
Entity Type:Individual
Prefix:MS
First Name:JONI
Middle Name:D
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:478 GREENE ROAD
Mailing Address - City:DIERKS
Mailing Address - State:AR
Mailing Address - Zip Code:71833-0657
Mailing Address - Country:US
Mailing Address - Phone:832-651-8700
Mailing Address - Fax:
Practice Address - Street 1:130 MEDICAL CIRCLE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852
Practice Address - Country:US
Practice Address - Phone:870-845-8161
Practice Address - Fax:870-845-8284
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-30
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106926225X00000X
AROTR2569225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist