Provider Demographics
NPI:1932735081
Name:DYE, TAMMY DIANE (OTA)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:DIANE
Last Name:DYE
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 BENT OAK DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-1412
Mailing Address - Country:US
Mailing Address - Phone:806-220-5411
Mailing Address - Fax:
Practice Address - Street 1:6800 BENT OAK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-1412
Practice Address - Country:US
Practice Address - Phone:806-220-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208769224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant