MRS. JENNIE BREANNE TIDWELL OTR/L
NPI 1114159688
Occupational Therapist in Carlisle, AR
About Mrs. Jennie Breanne Tidwell Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIE BREANNE TIDWELL OTR/L (NPI 1114159688) is an individual occupational therapist in Carlisle, Arkansas, licensed in Arkansas (OTR2314) and active in the NPI registry since August 2009.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennie Tidwell's NPI number?
The NPI number for Jennie Tidwell is 1114159688. It was assigned to this individual provider in the NPPES registry on August 18, 2009. The provider is also known as Breanne Tidwell Otr/L.
Where is Jennie Tidwell located?
Jennie Tidwell practices at 821 E Park St, Carlisle, AR 72024. The listed phone number is (870) 552-7110.
What is Jennie Tidwell's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Jennie Tidwell was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.