Healthcare Provider Details

I. General information

NPI: 1760640908
Provider Name (Legal Business Name): SUNNY AMBER MCKEE M.S., OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 W CHESTNUT ST
ROGERS AR
72756-0351
US

IV. Provider business mailing address

2 DOLPHIN LN
BELLA VISTA AR
72715-6541
US

V. Phone/Fax

Practice location:
  • Phone: 479-246-0101
  • Fax:
Mailing address:
  • Phone: 479-282-9898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR1856
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOTR1856
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: