Ashlee Anderson

Individual provider Active NPI Occupational Therapy Assistant · Dunlap, TN

NPI 1053014662 · NPPES record last updated Mar 23, 2023

Key facts

NPI
1053014662
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3896 (TN)
Practice address
360 Dell TRL
Dunlap, TN 37327-5511
Phone
(423) 949-4651
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3896TNMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3896 TN Yes

Addresses

Primary practice location

360 Dell TRL
Dunlap, TN 37327-5511

Mailing address

1111 Georgetown Rd NW
Cleveland, TN 37311-1534

Other providers in Dunlap, TN

All providers in Dunlap, TN · Occupational Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.