Provider Demographics
NPI:1659010379
Name:MCMENEMY, MILEY ULMER (OTR/L)
Entity Type:Individual
Prefix:
First Name:MILEY
Middle Name:ULMER
Last Name:MCMENEMY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 RAWLINGS HIDE LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-6160
Mailing Address - Country:US
Mailing Address - Phone:336-944-2802
Mailing Address - Fax:
Practice Address - Street 1:302 RAWLINGS HIDE LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-6160
Practice Address - Country:US
Practice Address - Phone:336-944-2802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist