Kristen Nicole Gray
Individual provider Active NPI Occupational Therapy Assistant · Milan, TN
NPI 1679128797 · NPPES record last updated Aug 6, 2019
Key facts
- NPI
- 1679128797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3308 (TN)
- Practice address
- 8017 Dogwood LN
Milan, TN 38358-6805 - Phone
- (731) 686-8373
- NPI assigned
- Aug 6, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3308 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3308 | TN | Yes |
Addresses
Primary practice location
8017 Dogwood LN
Milan, TN 38358-6805
Mailing address
220 Germantown Rd
Milan, TN 38358-5316
Phone (731) 616-8525
Other providers in Milan, TN
- Flippin Drug Company, Inc
- Robert Fly
- FPM LLC
- Gibson County Podiatry LLC
- Jon-Marc Gowan
- James Groves
- Karon P Harrison
- William Hudson Harrison
- Brittany Danielle Hawk
- Tyler Ray Hawk
All providers in Milan, 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 Aug 6, 2019. 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.