Tara Lousie Wilson, OTD, OTR is a
Occupational Therapist based in Fancy Farm, Kentucky. Tara Lousie Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
510 State Route 1686 W, Fancy Farm, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 804-9749.
NPI number for Tara Lousie Wilson is 1356296735 and her current mailing address is 510 State Route 1686 W, Fancy Farm, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356296735.
Healthcare Provider's Profile
| Full Name | Tara Lousie Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 510 State Route 1686 W, Fancy Farm, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356296735
- Provider Enumeration Date: 03/02/2026
- Last Update Date: 03/02/2026
Medical Identifiers
Medical identifiers for Tara Lousie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356296735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Lousie Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tara Lousie Wilson, OTD, OTR 510 State Route 1686 W, Fancy Farm, KY 42039-9437 Ph: () - | Tara Lousie Wilson, OTD, OTR 510 State Route 1686 W, Fancy Farm, KY 42039-9437 Ph: (270) 804-9749 |
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