Healthcare Provider Details

I. General information

NPI: 1801783758
Provider Name (Legal Business Name): JULIE ANNE GRISSETT MSOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 OLD WEISGARBER RD
KNOXVILLE TN
37909-2639
US

IV. Provider business mailing address

1905 MOBLEY WAY APT 507
KNOXVILLE TN
37922-2269
US

V. Phone/Fax

Practice location:
  • Phone: 865-621-4249
  • Fax:
Mailing address:
  • Phone: 256-626-4405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8281
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: