Brandon Scott Hale, MSOT
Individual provider Active NPI Occupational Therapist · Blountville, TN
NPI 1811272503 · NPPES record last updated Oct 13, 2011
Key facts
- NPI
- 1811272503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4323 (TN)
- Practice address
- 117 Millard LN
Blountville, TN 37617-5450 - Phone
- (276) 393-5047
- NPI assigned
- Oct 13, 2011
- Sex
- Male
- 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 |
|---|---|---|---|
| 4323 | TN | MD | Occupational Therapist |
| 0119005374 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4323 | TN | Yes |
| Occupational Therapist | 225X00000X | 0119005374 | VA |
Addresses
Primary practice location
117 Millard LN
Blountville, TN 37617-5450
Mailing address
117 Millard LN
Blountville, TN 37617-5450
Phone (276) 393-5047
Other providers in Blountville, TN
- Brandan Glazier
- Julie Shannon Glenn
- Chrystal Gail Gortney
- Emily Kay Gouge
- Melinda Sue Gouge
- Teresa E Hall
- Stacey Hamilton
- Tammy Jo Harrison
- Healing Paths Counseling
- Alisa Lynne Hearl
All providers in Blountville, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2011. 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.