Emily Boling, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Sevierville, TN

NPI 1477026581 · NPPES record last updated Jan 11, 2019

Key facts

NPI
1477026581
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2646 (TN)
Practice address
415 Catlett Rd
Sevierville, TN 37862-5901
Phone
(865) 453-4747
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

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
2646TNMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2646 TN Yes

Addresses

Primary practice location

415 Catlett Rd
Sevierville, TN 37862-5901

Mailing address

933 Buck Way
Sevierville, TN 37876-2802

Other providers in Sevierville, TN

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

Sources for this page

Verify at the official NPI Registry.