Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMARA IVY
ActiveTAMARA IVY is a Occupational Therapist healthcare provider located in DE KALB, Missouri. NPI 1215111620 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DE KALB, MO
Registration Details
- NPI Number
- 1215111620
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2007 (18.687675384903 yrs)
- Last Updated
- Dec 20, 2007
- License
-
004933 (MO)
Practice Information
- Address
-
702 MAIN STDE KALB, MO, 644409634Browse MO providers · Browse ZIP 64440
- Phone
- 8164508595
- Primary Specialty
-
Occupational Therapist
225X00000X
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.