Chastity Jolene Wooten
Individual provider Active NPI Occupational Therapy Assistant · MC Donald, TN
NPI 1407128358 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1407128358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0000003856 (TN)
- Practice address
- 700 Old Alabama Rd SW
MC Donald, TN 37353-5855 - Phone
- (276) 202-8138
- NPI assigned
- Feb 7, 2012
- 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 |
|---|---|---|---|
| 0000003856 | TN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0000003856 | TN | Yes |
Addresses
Primary practice location
700 Old Alabama Rd SW
MC Donald, TN 37353-5855
Mailing address
700 Old Alabama Rd SW
MC Donald, TN 37353-5855
Phone (276) 202-8138
Other providers in MC Donald, TN
- Natalya Kusmiy-Sanders
- Karlene Pamela Mullins
- Redi-Med Plus
- Katriel Marie Rogers
- Kila Russell
- Tara Marie Yelliott
All providers in MC Donald, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. 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.