Healthcare Provider Details

I. General information

NPI: 1720995855
Provider Name (Legal Business Name): ELIZABETH HUNTER LIPOSKY OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1666 HILLVIEW DR
ELIZABETHTON TN
37643-4116
US

IV. Provider business mailing address

606 SWADLEY RD APT 21
JOHNSON CITY TN
37601-9017
US

V. Phone/Fax

Practice location:
  • Phone: 423-542-5061
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8786
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: