Provider Demographics
NPI:1760568380
Name:CARTER, NORMAN RANDALL (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:RANDALL
Last Name:CARTER
Suffix:
Gender:M
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 1:4021 CLINTON LN
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-7441
Mailing Address - Country:US
Mailing Address - Phone:615-302-1365
Mailing Address - Fax:
Practice Address - Street 1:202 E MTCS RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1524
Practice Address - Country:US
Practice Address - Phone:615-849-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2647225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist