Provider Demographics
NPI:1659989655
Name:SIKORSKI, TERRI L (OTR/L)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:L
Last Name:SIKORSKI
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 1:206 COUNTY ROAD 757
Mailing Address - Street 2:
Mailing Address - City:RICEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37370-5203
Mailing Address - Country:US
Mailing Address - Phone:423-599-3296
Mailing Address - Fax:
Practice Address - Street 1:1025 CRESTWAY DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-4152
Practice Address - Country:US
Practice Address - Phone:423-745-0608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4835225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist