Healthcare Provider Details

I. General information

NPI: 1811963531
Provider Name (Legal Business Name): KERRI R PLANKENHORN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 08/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10133 SHERRILL BLVD SUITE 200
KNOXVILLE TN
37932-3347
US

IV. Provider business mailing address

121 HORSESHOE BND S
MADISON AL
35758-7711
US

V. Phone/Fax

Practice location:
  • Phone: 865-392-2817
  • Fax: 855-232-8604
Mailing address:
  • Phone: 256-653-9877
  • Fax: 855-232-8604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number679
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: