Kelly Amyx MSOT

NPI 1023057650 - Occupational Therapist - 225X00000X

NPI Details
NPI 1023057650
Gender Female
Enumeration Date 06/06/2006
Last Updated 07/16/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
121 VILLAGE DR
SUITE 103
PORTLAND TN, 37148-1418, US
Phone (615) 323-7575
Fax (615) 323-0677
Business Location
PO BOX 681478
FRANKLIN TN, 37068-1478, US
Phone (866) 800-9147
Fax (615) 591-6601
Toxanomy
Taxonomy Code 225X00000X
License State Tennessee
License Number 2969
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According to our database, Kelly Amyx MSOT NPI is 1023057650, taxonomy code is 225X00000X and license number is 2969, license state is located at Tennessee. Kelly Amyx MSOT physically located at 121 Village Dr, Portland TN, 37148-1418. NPI Number Kelly Amyx MSOT has the Individual type.

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1023057650 NPI number is provided on an as is basis without warranty of any kind. 1023057650 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Amyx MSOT are for informational purposes only.