Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jennie Breanne Tidwell, OTR/L

Individual provider Occupational Therapist · NPI 1114159688

Mrs. Jennie Breanne Tidwell, OTR/L is an Occupational Therapist in Carlisle, Arkansas. Licensed in Arkansas. Registered with an NPI since 2009.

Licensed in
AR
In the registry since
2009
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Practice location Address checks out

821 E Park St
Carlisle, AR 72024-9024
Phone: (870) 552-7110
Fax: (870) 552-7115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTR2314 (AR)

Record details

NPI number1114159688
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 18, 2009
Last updated in NPPESJanuary 11, 2013

Other providers in Carlisle