National Provider Identifier Database

LAUREEN M COFFELT, O.T. – NPI #1760485585
Hand

Contact Information

LAUREEN M COFFELT, O.T.
6286 BRIARCREST AVE STE 200
MEMPHIS, TN  38120-4023
Phone: 901-641-3000
Fax: 901-259-1698
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for LAUREEN M COFFELT

NPI Number 1760485585
Credentials O.T.
Entity Individual
Enumeration date 05/24/2005
Last updated 07/21/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MS License #: OT-3879
  • TN License #: 1178
  • AR Medicaid: 110318002
  • AR Medicaid: 158928721
  • MS Medicaid: 08031211
  • MS Medicaid: 7187860
  • TN Medicaid: 3371161
  • TN Medicaid: 3645198
  • MS Other: 620819926 BCBS
  • TN Other: 620819926 AETNA
  • TN Other: 7729581 AETNA
  • TN Other: 4088730 BLUE CROSS
  • TN Other: 620819926 CIGNA
  • TN Other: P00281381 RAILROAD MEDICARE
  • TN Other: 620819926 TRICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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