Provider Demographics
NPI:1477720753
Name:LITNEY, TAMARA ALICE (OTR/L)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:ALICE
Last Name:LITNEY
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 1:510 E US HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:WAMEGO
Mailing Address - State:KS
Mailing Address - Zip Code:66547-9520
Mailing Address - Country:US
Mailing Address - Phone:785-456-9195
Mailing Address - Fax:
Practice Address - Street 1:510 E US HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:WAMEGO
Practice Address - State:KS
Practice Address - Zip Code:66547-9520
Practice Address - Country:US
Practice Address - Phone:785-456-9195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-01367225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist