Individual provider · Type 1 NPI

Lydia Randall Latham

Occupational Therapist · Senatobia, MS

NPI number 1649075185 Active

Practice location

212 E Main St
Senatobia, MS 38668-2140

Fax (662) 796-4740

Mailing address

116 Ethelyn Smith Dr
Senatobia, MS 38668-7403

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT4381 (MS)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1649075185

Lydia Randall Latham's National Provider Identifier is 1649075185, issued on Feb 18, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Senatobia, MS. The record was last updated on Oct 1, 2026.