Carrie Jo Tyson
Occupational Therapist - Physical Rehabilitation
111 Nw Mock Ave
Blue Springs
, Missouri 64014-2503
Carrie Jo Tyson
Occupational Therapist - Physical Rehabilitation
111 Nw Mock Ave
Blue Springs
, Missouri 64014-2503
(785) 215-1896
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Carrie Jo Tyson
- 23543 W 74th St
- Shawnee, KS
- Zip : 66227-5518
- Phone : (785) 215-1896
Second Address
- Carrie Jo Tyson
- 111 Nw Mock Ave
- Blue Springs, MO
- Zip : 64014-2503
- Phone : (816) 220-4247
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2010025842 | MO |
National Provider Identifier
| NPI | 1174192140 |
|---|---|
| Provider Name | Carrie Jo Tyson |
| First Address | Shawnee, KS 66227-5518 |
| Second Address | Blue Springs, MO 64014-2503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2021 |
| Last Update Date | 23/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2010025842 | OUTPATIENT (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.