Provider Demographics
NPI:1396264545
Name:TARPLEY, BREANNA NOEL (COTA)
Entity type:Individual
Prefix:MRS
First Name:BREANNA
Middle Name:NOEL
Last Name:TARPLEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:BREANNA
Other - Middle Name:NOEL
Other - Last Name:ENGLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 GRACEY ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:TN
Mailing Address - Zip Code:38583-2046
Mailing Address - Country:US
Mailing Address - Phone:931-836-2211
Mailing Address - Fax:
Practice Address - Street 1:34 GRACEY ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-2046
Practice Address - Country:US
Practice Address - Phone:931-836-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2953224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant