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NPI Code Detail

MEDICARE: RENEE MICHELLE COMBS OT

MEDICARE: RENEE MICHELLE COMBS OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2225X00000XOccupational Therapist6879TN

General Provider Information

NPI Number : 1467942680
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE MICHELLE COMBS OT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7568
Fax Number :
Provider Business Practice Location Address
First Line : 8905 TOWN AND COUNTRY CIR STE 9
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4931
Country : US
Telephone Number : 865-539-9185
Fax Number : 865-694-3142
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2018
Last Update Date : 05/05/2021

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