Healthcare Provider Details

I. General information

NPI: 1164448700
Provider Name (Legal Business Name): LESLIE M SUTTON OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLIE ANN MCFARLAND

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 EXETER RD STE 200
GERMANTOWN TN
38138-3966
US

IV. Provider business mailing address

2100 EXETER RD STE 200
GERMANTOWN TN
38138-3966
US

V. Phone/Fax

Practice location:
  • Phone: 901-522-6440
  • Fax: 901-937-3267
Mailing address:
  • Phone: 901-522-6440
  • Fax: 901-937-3267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number3590
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: