Provider Demographics
NPI:1710668462
Name:OTTER THERAPY AND VOCATIONAL SERVICES
Entity Type:Organization
Organization Name:OTTER THERAPY AND VOCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MEUSSNER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:731-343-8944
Mailing Address - Street 1:7 PREMIER ESTS
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-6093
Mailing Address - Country:US
Mailing Address - Phone:731-343-8944
Mailing Address - Fax:
Practice Address - Street 1:7 PREMIER ESTS
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343-6093
Practice Address - Country:US
Practice Address - Phone:731-343-8944
Practice Address - Fax:731-300-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty