Provider Demographics
NPI:1881823714
Name:AKINS, TAMMY R (OTR/L)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:R
Last Name:AKINS
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 1:238 HIDDEN LOOP DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-9607
Mailing Address - Country:US
Mailing Address - Phone:606-451-0023
Mailing Address - Fax:
Practice Address - Street 1:238 HIDDEN LOOP DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-9607
Practice Address - Country:US
Practice Address - Phone:606-451-0023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2068225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist