Provider Demographics
NPI:1396354452
Name:CRUICKSHANK, LAURYN HILL (OTR/L, MOT)
Entity type:Individual
Prefix:MRS
First Name:LAURYN
Middle Name:HILL
Last Name:CRUICKSHANK
Suffix:
Gender:F
Credentials:OTR/L, MOT
Other - Prefix:MISS
Other - First Name:LAURYN
Other - Middle Name:ELIZABETH
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:28 FOREST MEADOW BLVD SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35824-4033
Mailing Address - Country:US
Mailing Address - Phone:940-781-2179
Mailing Address - Fax:
Practice Address - Street 1:12000 TURNMEYER DR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-3358
Practice Address - Country:US
Practice Address - Phone:901-867-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-24
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000006208225X00000X
ALOT0000005626225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist