Betty Jean Wells, OTR
Individual provider Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Mosheim, TN
NPI 1376752154 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376752154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 1972 (TN)
- Practice address
- 7040 Blue Springs Pkwy
C-13
Mosheim, TN 37818-3767 - Phone
- (423) 422-7137
- NPI assigned
- May 21, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1972 | TN | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 1972 | TN | Yes |
Addresses
Primary practice location
7040 Blue Springs Pkwy
C-13
Mosheim, TN 37818-3767
Mailing address
7040 Blue Springs Pkwy
C-13
Mosheim, TN 37818-3767
Phone (423) 422-7137
Other providers in Mosheim, TN
- Mosheim Pharmacy Inc
- Mosheim Recovery Associates
- Mosheim Recovery Associates Inc
- Mountain Visions Inc
- Keith Pratt
- Tony Yost
All providers in Mosheim, TN · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.