Provider Demographics
NPI:1962040022
Name:POSEY, TAREKA (COTA)
Entity Type:Individual
Prefix:
First Name:TAREKA
Middle Name:
Last Name:POSEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:TAREKA
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:6602 DEER PARK DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1500
Mailing Address - Country:US
Mailing Address - Phone:806-290-0462
Mailing Address - Fax:
Practice Address - Street 1:6602 DEER PARK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1500
Practice Address - Country:US
Practice Address - Phone:806-290-0462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210504224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant