Healthcare Provider Details

I. General information

NPI: 1649312604
Provider Name (Legal Business Name): OTS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 TAZEWELL PIKE STE 135
KNOXVILLE TN
37918-1874
US

IV. Provider business mailing address

2911 TAZEWELL PIKE, SUITE 135
KNOXVILLE TN
37918-3318
US

V. Phone/Fax

Practice location:
  • Phone: 865-705-7128
  • Fax: 865-687-1026
Mailing address:
  • Phone: 865-705-7128
  • Fax: 865-687-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0000000206
License Number StateTN

VIII. Authorized Official

Name: MS. IVY JOAN MCNEW
Title or Position: PRESIDENT
Credential: OTR
Phone: 865-705-7128