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

Ricky Dale Showman Jr.

Individual provider Occupational Therapy Assistant · NPI 1366117632

Ricky Dale Showman Jr. is an Occupational Therapy Assistant in Blountville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

2830 Highway 394
Blountville, TN 37617-5577
Phone: (423) 274-6191
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3617 (TN)

Record details

NPI number1366117632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021

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