Healthcare Provider Details

I. General information

NPI: 1730902065
Provider Name (Legal Business Name): TAYLOR LEIGH CAMPBELL OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6698 PALMS CT
CHATTANOOGA TN
37421-2278
US

IV. Provider business mailing address

8417 OAK VIEW DR
CHATTANOOGA TN
37421-4377
US

V. Phone/Fax

Practice location:
  • Phone: 423-250-9435
  • Fax:
Mailing address:
  • Phone: 615-260-7110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5718
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: