Janel L Hostetler, COTA

Individual provider Active NPI Occupational Therapy Assistant · Pleasant Hill, TN

NPI 1972174357 · NPPES record last updated Jul 7, 2021

Key facts

NPI
1972174357
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
PENDING (TN)
Practice address
55 W Lake Rd
Pleasant Hill, TN 38578-3002
Phone
(931) 219-2287
NPI assigned
Jul 7, 2021
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
PENDINGTNMDOccupational Therapy Assistant

Specialties & licenses

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

Addresses

Primary practice location

55 W Lake Rd
Pleasant Hill, TN 38578-3002

Mailing address

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347
Phone (865) 392-2849

Other providers in Pleasant Hill, TN

All providers in Pleasant Hill, TN · Occupational Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.