Kelly Marie Thompson, OT
Occupational Therapist in Knoxville, TN. Individual provider (NPI-1).
NPI number1083177034
StatusActive
Last updated in NPPESDec 30, 2023
Details
- NPI
- 1083177034
- Entity type
- Individual (NPI-1)
- Name
- Kelly Marie Thompson
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2019
- Certification date
- Dec 19, 2023
- Last updated
- Dec 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 008212 | AZ | Yes |
| 225X00000X | Occupational Therapist | 5330 | TN | |
| 225X00000X | Occupational Therapist | OT19912 | FL | |
| 225X00000X | Occupational Therapist | OT1870 | HI |
Practice location
401 S Gallaher View Rd Apt 210Knoxville, TN 37919-5334
Phone 651-343-7971
Mailing address
18704 N Cook DrMaricopa, AZ 85138-4499
Phone 651-343-7971
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All 220 Occupational Therapist providers in Knoxville · All 17,212 providers in Knoxville
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