Provider Demographics
NPI:1538541081
Name:MARSHALL, CAYCE (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:CAYCE
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7407 RYE HILL RD E
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-8120
Mailing Address - Country:US
Mailing Address - Phone:804-350-4547
Mailing Address - Fax:
Practice Address - Street 1:7407 RYE HILL RD E
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-8120
Practice Address - Country:US
Practice Address - Phone:804-350-4547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-22
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT. 00900314000000X
AROTR2928225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility