Healthcare Provider Details

I. General information

NPI: 1679326870
Provider Name (Legal Business Name): SYDNEY HURD OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 W MORRIS BLVD STE B
MORRISTOWN TN
37813-2237
US

IV. Provider business mailing address

325 W MORRIS BLVD STE B
MORRISTOWN TN
37813-2237
US

V. Phone/Fax

Practice location:
  • Phone: 423-317-7772
  • Fax: 423-317-7773
Mailing address:
  • Phone: 423-317-7772
  • Fax: 423-317-7773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7952
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: