Provider Demographics
NPI:1801653555
Name:TRANTHAM, ELISABETH RUTH (COTA)
Entity type:Individual
Prefix:
First Name:ELISABETH
Middle Name:RUTH
Last Name:TRANTHAM
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 W US HIGHWAY 64 STE 2
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-4061
Mailing Address - Country:US
Mailing Address - Phone:828-516-1700
Mailing Address - Fax:828-516-1693
Practice Address - Street 1:240 CUNNINGHAM RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-7576
Practice Address - Country:US
Practice Address - Phone:828-634-7800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC504370224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty