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NPI Code Detail

MEDICARE: MCKENZIE ROBERTS MOT, OTR/L

MEDICARE:   MCKENZIE  ROBERTS  MOT, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist8449TN

General Provider Information

NPI Number : 1235995713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENZIE ROBERTS MOT, OTR/L
Provider Business Mailing Address
First Line : 167 FIELDS RD
Second Line :
City : BYHALIA
State : MS
Zip : 38611-8822
Country : US
Telephone Number : 901-870-5896
Fax Number :
Provider Business Practice Location Address
First Line : 146 TIMBER CREEK DR
Second Line :
City : CORDOVA
State : TN
Zip : 38018-4395
Country : US
Telephone Number : 901-654-5693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2024
Last Update Date : 08/15/2025

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Directions to “ MCKENZIE ROBERTS MOT, OTR/L” Practice Location

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