Provider Demographics
NPI:1396160677
Name:LAMIER, TERESA
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:LAMIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1921
Mailing Address - Street 2:
Mailing Address - City:PIGEON FORGE
Mailing Address - State:TN
Mailing Address - Zip Code:37868-1921
Mailing Address - Country:US
Mailing Address - Phone:315-256-1410
Mailing Address - Fax:
Practice Address - Street 1:240 HANNAH RD
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-5851
Practice Address - Country:US
Practice Address - Phone:865-882-9159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOTA0000002204224Z00000X
MA435224Z00000X
NC9019224Z00000X
NY003303224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant