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

Individual provider Occupational Therapist · NPI 1356296735

Tara Lousie Wilson, OTD, OTR is an Occupational Therapist in Fancy Farm, Kentucky. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

510 State Route 1686 W
Fancy Farm, KY 42039-9437
Phone: (270) 804-9749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1356296735
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR
Sole proprietorYes
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

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