Provider Demographics
NPI:1811870900
Name:HAWKINS, ELIZABETH KAITLIN (MOTR/L)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KAITLIN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SECOND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-2846
Mailing Address - Country:US
Mailing Address - Phone:662-887-3800
Mailing Address - Fax:
Practice Address - Street 1:106 SECOND ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:MS
Practice Address - Zip Code:38751-2846
Practice Address - Country:US
Practice Address - Phone:662-887-3800
Practice Address - Fax:662-887-3800
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS480476225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist