Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MELISSA MARIE TIETZE, COTA
Active Sole ProprietorOccupational Therapy Assistant · BENTON, AR
Registration Details
- NPI Number
- 1053621201
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2010 (15.518806980746 yrs)
- Last Updated
- Aug 19, 2014
- License
-
OT-A869 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17706 I-30 STE 3BENTON, AR, 720192930Browse AR providers · Browse ZIP 72019
- Phone
- 5013154414
- Fax
- 5013153467
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BENTON, AR
| Name | Credential | NPI |
|---|---|---|
| AUTUMN N JESSEN | COTA | 1396926309 |
| JENA L NANNY | COTA/L | 1396067542 |
| COURTNEY NICOLE SPEIGHTS | BA, COTA | 1326369216 |
| TIMIE BROOKE YANCEY | COTA | 1083926851 |
| KAYLA DANIELS | COTA/L | 1013201607 |
| KARI ELIZABETH HARPER | MOT, OTR/L | 1548556616 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.